-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
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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•
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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