NYC 9/11 Public Portal Document
DEPARTMENT OF ENVIRONMENTAL PROTECTION
B1 REAU OF ENVIRONMENTAL COMPLIANCE
AESTOS AND LEAD CONTROL PROGRAM
59; 17 JUNCTION BOULEVARD ]~
CORONA, NY 11368 C1.UPL /I
JOEL. A. MIELE. SR..r.E.
COMMISSIONER
BULK
ANALYSIS CHAIN OF CUSTODY
Incident No.: Date Sampled: -AZ 3 /72
Premise: 90l C/ 1/3E2. STR 6 &T— Boro: /k&FNh~/~ i~Tf~•'1r
Time: X0:30 pm
Inspector: R• _71)70&A/1r
Print Signature
Turnaround Time: Immediate 1✓ , 24 Hours I I 48 Hours I I I Week I I
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NYC-WTC 000122121
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