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← Document results/DEP Box 49/177 BROADWAY 1001077, 63/19
Document / 2 pages

Asbestos bulk analysis chain of custody, 177 Broadway, undated

Machine-extracted title · confidence 90%

Chain of custody form for asbestos bulk samples collected at the premises on 177 Broadway.

NYC-WTC_000122757–000122758

Folder label: “177 BROADWAY 1001077, 63/19”

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Scanned page image, NYC-WTC_000122757
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

DEPARTNT OF ENVIROI NTAL PROTECTION BUREAU OF AIR, NOISE & HAZARDOUS MATERIALS ASBESTOS/LEAD CONTtOL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368

JOEL A. ffi LL, SR., P.R. caos~sszo ASBESTOS CONTROL PROGRAM BULK ANALYSIS CHAIN OF CUSTODY ~f Zacident Na.: Date sampled: 4 __ 177 Time : /O:~O premise.

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

DATE CCEPTED BT COr~t•ENTS

#3 CcC1 ~ $ __ _ s=ue _______

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NYC-WTC 000122757

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NYC-WTC_000122757Source: NYC Law Department, mirrored locally

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