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:
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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
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NYC-WTC 000119274
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