NYC 9/11 Public Portal Document
DEPARTMENT OF ENVIRONMENTAL PROTECTION
'BUREAU OF AIR, NOISE & HAZARDOUS MATERIALS
ASBESTOS/LEAD CONTROL PROGRAM
59-17 JUNCTION BOULEVARD
CORONA, NY 11368
JOEL S. )CELE, SR., P.E.
COMMISSIONER
ASBESTOS CONTROL PROGRAM
BULK ANALYSIS CHAIN OF CUSTODY
incident No.: Date Sampled:
Premise : C//A/ThS S77PEE7 Tim.: /2:O3
Bore: /1?i /H4 77V✓
Inspector: R-RQR/r7//LE36 4
Print Sign
TURNAROUND TDC: 24585 1t/] 4HBRS [ ] 1 WK ( I 2 WRS 1 l 4 ics
SAMPLE NUMBER DESCRIPTION LOCATION SAMPLED LAB ID
_2O 3 702.t iL97 JDrrfi p frL I
2.209..8 3 Ao7g c 2 07-y~
3. 20223 /Ao7 3o pw f
ivd 'd
4 -2o,2.2 7f 031 ti bmI &vfA'- f
5-2-o 223 J14077o32 Cbrims 3_)T- Ssv
6.202 2.3 ,x7 033 f Inv Qrf RA c -
7. 20 22 3 X78 O3 i brws Oirf Gu M4
S. 20 223 ,4OZ~ 3 5- i brvm . ?4- S~ i(ca-
9. 40223 Aa78 036 ¢r b D►r't: --
io.
ANALYSES REQUESTED: Asbestos PLM [✓] Asbestos TEM I ] Lead I I
DATE TIME ACCEPTED BY CONaNTS
PRINT
SIGN
P
s
P
S
P
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P
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DEP ACV REV W 96
NYC-WTC 000122203
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