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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_000122758
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document CHENL:S, 2922.2 Moss o/P 2.20224/hasso2z0 |Z 3.20222 |hasxo2/_ Wf 4. 224 22_. : 520224 /fostoz3 s Leadfree 2 7.20229 [fpostpz2S TLZ 8 202 23 Mosta2k ener 87, 20228 hoss02-7 H a0. / — ANALYSES REQUESTED: Asbestos PIM [ ] Asbestos TEM [ ] Lead [ ] pare. ft em fo aceceprep By, edi Ps COMMENTS Ppyor 3:55 [ee Gregttnchier | Sele ore * /- Bo a GG BEC ® s P # s bd ? * s “DEP AC? REV 3790 RIE ARLIIDINE WE EAA LEWES SOL TAWA Esl d DW | .BUREAU OF AIR, NOISE & HAZARDOUS MATERIALS ASBESTOS/LEAD CONTROL PROGRAM : 59-17 JUNCTION BOULEVARD CORONA, NY 11368 Posmmve srewee nse, DUPLICATE COMMISSIONER ASBESTOS CONTROL PROGRAM BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Date Sampled: 2/238 / OL Premise: [77 Paodlury Time: [0430 (anjn Boro: Dhan. iy hase Inspector:_ L 2 key Wile _ Print 7 Sign - TURNAROUND TIME: 24HRS [--[ 40HRS [ ] 1 WKRE 1] 2WKS[ 1] 4 WES [ #47 FF 17~ NYC-WTC_000122758

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NYC-WTC_000122758Source: NYC Law Department, mirrored locally

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