NYC 9/11 Public Portal Document
EPARTMENT OF ENVIRONMENTAL PROTECTION
UREAU OF ENVIRONMENTAL COMPLIANCE
RSBESTOS AND LEAD CONTROL PROGRAM
59-17 JUNCTION BOULEVARD
CORONA, NY 11368
JOEL A. MIELE. SR_P.E.
COMMISSIONER
BULK
ANALYSIS CHAIN OF CUSTODY
Incident No.: Date Sampled: Ja03 jOZ- /
Premise: 9h CF//1f'7l36jZ S KR E r T- Boro:
Time: / . __ pm
Inspector: 1e• 1~i9/~/nof/R
Print Signature
Turnaround Time: Immediate t/'1 24 Hours 1 1 48 Hours I I I Week I I
I. 24223 7g of b?% c y ,;, 2o m id e
2. 022-3 A478002- i -ays ir~l cxo ~P ,
/ r~
3. 2©223 RAr8 ov 3 ;b ; (~ c 4 f2xP /r jc1 ec f r
4. 2f12 23 J/jc78 o 2)/r
s• 2o2. 2.3 78 005-
6. 2-0223 / 7f; cJo ,bye- !4 /I, u QC4i
7. 2O2.3//7 cs 7 i
8. 2o223 X78 a0$- Fl bro ç. i r cylr
9. 2o2z3 /go Fr b► u2 R ge",04 bLE9L kcJ
10.
INALYSIS REQUESTED: Asbestos PLM I /1 Asbestos TEM I I Lead I l
NYC-WTC 000122120
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