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← Document results/DEP Box 49/175 BROADWAY 1001078, 63/20
Document / 2 pages

Asbestos bulk sample chain of custody, 175 Broadway, Mar 2002

Machine-extracted title · confidence 95%

Chain of custody form for asbestos bulk samples collected at 175 Broadway with request for PIM and TEM analysis.

NYC-WTC_000122648–000122649

Folder label: “175 BROADWAY 1001078, 63/20”

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Scanned page image, NYC-WTC_000122648
OCR text

OCR status: ocr · source: ours

i «? 2.202 TD27 - 2 (PE) 3. 202 23 fpoSoz0 ( . 4. LORABYAVITO3/ ) J pute 0c md hse all 5. gozzd assv32_U/ Ce bre i y 6. R22 os 5033 | Aegrid pth. ixr4y fp 4 7 20233 YQ0SSD3Y 2 hw, PLA 2.29224 |PSSO3S 2 LU pee 9.20224 fnssazh, UV, a . 10. ANALYSES REQUESTED: Asbestos PIM [ ] Asbestos TEM [ ] Lead [ ] | PATE,” “Pe woe agceprep By pupa oS ecneanstes TYe at pase He Se CrsY op * le + uo BLA, BEC Cb ? 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 A. MIELE, SR., P.E. —— COMMISSIONER ASBESTOS CONTROL PROGRAM BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Date Sampled: bf 3 /o a Premise: 175 Beonowbey _—— / [FO anhea) Boro: Ww AN f Vs Inspector: eet! (SA Cf/Vi— Le lip — Print / i WK é } TURNAROUND IME: 24HRS [><] 48HRS [ . 2wes{ 1 4 WKS { j "BED ACP REV $736 NYC-WTC_000122648

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NYC-WTC_000122648Source: NYC Law Department, mirrored locally

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