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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_000122817
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document ,DEPARTMENT OF ENVIRONMENTAL k tQTECTION •BUREAU OF AIR, NOISE & HAZARDOUS MATERIALS ASBESTOS/LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11366 p.s. Li UPL I C,A ! j aosz a.:asrs, sa. , E coraussxONER ASBESTOS CONTROL PROGRAM BULK ANALYSIS CHAIN OF CUSTODY

Date sampled: o /C) Incident No.: v ..'...." premise: ri me •

Boro: kt_

Inspector • . ~~ v ` - Print $

T YRNAAOVND TDB: 24BPS [~ 488RS ` [ ] s. 1WX [ I 2 WKS [ I 4 =3 [ I

1 : Y1 111Y 1—

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IAA►5.11 i~~• ~ /its ~~

~~~i//.~IS1~~ ~ ~ 1( ♦ ~ ~i --/~ / f i_ _ / ~~~L%ter'! ~1_

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

ATE Tn4E ACCEPTED BT COb (ENTs MXWT ~ ç ~ 3 0~ C .

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NYC-WTC 000122817

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NYC-WTC_000122817Source: NYC Law Department, mirrored locally

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