NYC 9/11 Public Portal Document
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BIIRBEAU OF ENVIRONMENTAL COMPLIANCE
ASBESTOS AND LEAD CONTROL PROGRAM
59;17 JUNCTION BOULEVARD
CORONA, NY 11368
JO£1. A. MIELE. SR..P.E.
COMMISSIONER
BULK
ANALYSIS CHAIN OF CUSTODY
Incident No.: Date Sampled: ) 3 (2'
Premise: 9? C/ fl /.3 s m 6 iF T — Roro: /12 ii, .4r d
Time: /c;39 l amlpm
Inspector: le• RAM1)706
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Signature
Turnaround Time : Immediate (✓ , 24 Hours 1 I 48 Hours I I I Week I I
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4. 20 223 4 ,78 o< %r A- OS
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7. 222-3/, 72 607 ; hymis c- o.j - /
8. 2022.3 ii78 V09 F
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9. 2)22.3 .479 F) jA . . _9_(
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ANALYSIS REQUESTED: Asbestos PLM I /1' Asbestos TEM I I Lead I I
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OEP 4(LP REX SAa1
NYC-WTC 000122121
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