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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”

Page image
Scanned page image, NYC-WTC_000122649
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

-BUREAU OF AIR, NOISE 6.EAZARDOUS MATERIALS l;S ESTOS/LED CONTROL PROGRAM '59-17 JUNCTION BOULEVARD CORONA, NY 11368 )QEY.B. SR.. P.B. UU LLIT 7 E -0 JOEL A. Cor*XSSIO R

ASBESTOS CONTROL PROGRAM BULK ANALYSIS CBAIN OF CUSTODY

Incident No.: Date Sampled:

Premise: 75 a e 81 Time: _ax4)) Boro: Mk1J• __

Inspector• ~Print I $

TURNAROUND TD: 245R3 LXl 48ERS [ 1 1 1X 1 1 2 I S 1 1 4 IS [ l

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ANALYSES REQUESTED: Asbestos PLM [ ] Asbestos TEM [ ] Lead [ ]

ATE :•." •TIME ACCEPTED BY COMMHTS

!/ G ~ J SIGN ~j

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DP ACe K1V V1 V%

NYC-WTC 000122649

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NYC-WTC_000122649Source: NYC Law Department, mirrored locally

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