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← Document results/DEP Box 49/179 BROADWAY 1001076, 63/18
Document / 2 pages

Asbestos bulk analysis chain of custody, 179 Broadway, undated

Machine-extracted title · confidence 90%

Chain of custody form for asbestos bulk samples collected at the premises on 179 Broadway.

NYC-WTC_000122816–000122817

Folder label: “179 BROADWAY 1001076, 63/18”

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Scanned page image, NYC-WTC_000122816
OCR text

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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

NOEL A. IT2T 1 SR., P.E. CORRzss=OI' ASBESTOS CONTROL PROGRAM BULK ANALYSIS CHAIN OF CUSTODY

Date sampled: o v ` Xncident No.:

premise: /

Bar*: !'.- j~ inspector:4(J'd9_W /~- ~'~~ Print I s

TURNAROUND TD: 24888 il/] 488R3 [ I 1 lR 1 I 2 WXS 1 I 4 WKS 1 l '___--- -_-_--_~-__ _____- _.__----_ • _~ .~-_ __ _ -_-•~; -V , ~ -- ~--__

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

TD ACCEPTED BY C NTS ATE

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NYC-WTC 000122816

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NYC-WTC_000122816Source: NYC Law Department, mirrored locally

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