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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

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOEL A. MILE.SR.r.L COMMISSIONER BULK ANALYSIS CHAIN OF CUSTODY

Incident No.: Date Sampled: _1.— ;)..y OZ

Premise: 11 g ~~ 4Z`3 1 E Boro: p Time: t`~ Z O (amlpm

Inspector: 4z PP > _ ' . A Print Signature

Turnaround Time: Immediate I✓ I 24 Hours I I 48 Hours ( ( I Week

2. 0 _pos o c 2- L. '~ 3. ~o~2~-f la°3$ C3

4. aO 2 P3$ c '-1 '8$ 5- ~22y 3s0 C5 1 89 6.)..O \ L'06 7. P o2% t9 8. a'012`~ ft lg% J Sf 9. O L L'j f t o l9

ANALYSIS REQUESTED: Asbestos PLM (•/( Asbestos TEM I I Lead ( I

Date Time ..i :`' . ' -: .Accepted By' ` Comments

I. . cj am Print A'T___- t.- 'Fs

2. ' / z/ /~ p Sign y~ lab-- v `G_ c►~o ______________

! am Print ~L~ pm Sign

3. am Print pm Sign

4. am Print pm Sign

5. am Print pm Sign

NYC-WTC 000119274

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NYC-WTC_000119274Source: NYC Law Department, mirrored locally

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