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Asbestos Bulk Sample Chain of Custody for 102 Chambers Street

Machine-extracted title · confidence 96%

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

NYC-WTC_000122082–000122083

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

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NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION D1#EAU OF ENVIRONMENTAL COMPLIANCE +ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOEL A. MIELL SR.r.E. COMMISSIONER

BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Date Sampled: o2. /2J./ 2

Premise: /49 CNt,s#CN STREET Boro: MR /_•4 rrX_/ Time: I * 3 $8

Inspector: j) IF/ESH J M4/t' Print Signature

Turnaround Time : Immediate 1 `f J 24 Hours 1 1 4a Hours I Week I I

SAMPLE NUMBER D SCRIPTION LOCATION SAMPLER LAB #fl I. 2o2 /060 O24 i1,rru .Diri 2. ,~eZ 6o 02 ? u a rr 3.Z,o Aa6003 0 , n 4. 2l3ZUf. Erc a3( ,, 4. rr

S.2. 2.__03 "L r, ri rr 6. ___c'33 io,,j~~. 033 rr rr /r 7. 10 2 !t`" © r. rr rr $. tot `J-1%C o3S rr rr tt 9.2O 22/..4o v36 / brrsys .Dirk 10.

ANALYSIS REQUESTED: Asbestos PLM I Asbestos TEM I I Lead

Sae Time Accepted Br Comments 1. am Print pm Sign 2. am Print pm Sign 3. am Print pm Sign 4. am Print pm Sign S. am Print pm SiQn )E/ACLrRE%5 n

NYC-WTC 000122082

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NYC-WTC_000122082Source: NYC Law Department, mirrored locally

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