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17 BATTERY PL 1082634, 15/7501

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000119272–000119274
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NYC 9/11 Public Portal Document

D1 PARTMENT OF ENVIRONMENTAL PROTECTION RL?REAU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOEL A. MIELE. SR~.E. COMMISSIONER BULK ANALYSIS CHAIN OF CUSTODY

Date Sampled: .1_" ~N OT . Incident No.:

Premise: ri e -P Thy FrL cE Boro: M P -t..) H Ni Cm -t.,)

Time: °O am II

Inspector: Sfrr N Print Signature

Turnaround Time: Immediate Iv I 24 Hours I I 48 Hours I I I Week I I

SAMPLE NUMBER ` ' DESCRIPTION LOCATION SAMPLED LAB ID ~Q f }y.7 } /s G r 1 d~l S

2. 1 3801 3. 0z2~1 ►tV32 0I3 f-3°1y 5. ~o ), 2 Pt3$ °IS 6.

7.

8.

9.

10.

ANALYSIS REQUESTED: Asbestos PLM I.4 Asbestos TEM I I Lead I I

Date Time Accepted By Comments

I. am Print pm Sign

2. am Print pm Sign

3. am Print pm Sign

4. am Print pm Sign

5. am Print pm Sign

0

NYC-WTC 000119272

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NYC-WTC_000119272Source: NYC Law Department, mirrored locally

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