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Asbestos Bulk Sample Chain of Custody, 102 Chambers Street

Machine-extracted title · confidence 100%

Chain of custody form tracking the collection and transport of asbestos bulk samples from 102 Chambers Street for laboratory analysis.

NYC-WTC_000122079–000122081

Folder label: “102 CHAMBERS ST 1001465, 135/14

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Scanned page image, NYC-WTC_000122080
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

EPARTMENT OF ENVIRONMENTAL PROTECTION DASBESTOS IjREAU OF ENVIRONMENTAL COMPLIANCE AND LEAD CONTROL PROGRAM 59-l7 JUNCTION BOULEVARD CORONA, NY 11368 40ft A. MIELt sass. cOMMIWONZR BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Date Sampled: f) 2 .~~ Z

Premise: 32 wA RED! S`7 E6 T Boro: /rl lM 77v/ Time: II : 2' A/ Sa m

Inspector Print Signature Turnaround Time: Immediate I✓ I 24 Hours I I 48 Hours I I I Week I I

=SAMPLE NUMBER . .." <' DESCRIPTION I LOCATION SAMPLED I LAB ID 1.____6 ' 0/q Kraus Wf' 2. 2022!, 4O~o 02.0 rr ,r

3_2.o-2-4 ,.p6o d

4. 2Q Z2 4-r 102 2- a fi S. 2022. 6o 023 . ri N 6. ,20ZL ,4o60 021. a fr 7. 202 /Icce, 02S 8. Z.OZL44 ,_ 60 ,off r, ,, 9. 202t~ Ac4v 7-z7 'brws w l0. ANALYSIS REQUESTED: Asbestos PLM I Asbestos TEM I I Lead I I

Date ` Time Bti C~ust:cntx I. am Print pm Sign 2. am Print pm Sign

3. am Print pm Sign 4. am Print pm Sign S. am Print Pm

NYC-WTC 000122080

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NYC-WTC_000122080Source: NYC Law Department, mirrored locally

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