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← Document results/DEP Box 51/150 DUANE STREET Block: 146 Lot: 7502 BIN: 1001599 AKA's: 115 WEST BROADWAY, 152 DUANE ST, 115-123 WEST BROADWAY
Document / 11 pages

Asbestos project notification form, 150 Duane Street

Machine-extracted title · confidence 98%

An asbestos project notification and inspection report form for 150 Duane Street requiring signatures.

NYC-WTC_000126053–000126063

Folder label: “150 DUANE STREET Block: 146 Lot: 7502 BIN: 1001599 AKA's: 115 WEST BROADWAY, 152 DUANE ST, 115-123 WEST BROADWAY

Page image
Scanned page image, NYC-WTC_000126063
OCR text

OCR status: ocr · source: ours

NYC-WTC 000126063 JCB CHAIN OF CUSTODY DOCUMENT J.C. Broderíck & Associates Bill To: J.C. Broderick & Associates 101•4 Colin Drive, Holbrook, NY 11741 Accounts Payable 631-419-0913 • Fax: 631-584-3395 101•4 Colin Drive, Holbrook, NY 11741 Expecte 10/19 Laboratory: Emst <im) Project Name: 52784 Project Manager & Kotlay: Sampler (Signatare): - Project Location: 115 wes Bicedway focf Samplers Name (Print): B1200212 Client Name: Andien Bld. CuP. Project Number 2254 •6HR [12 HR 2324 HR [48HR [72HR [4 DAY [5 DAY [6-10 SAMPLE INFO Project Phase *A=AirB-Bulk W=Water I=Wipe +-Time (min.)→,+L/min Liters Analysis Analysis Date Sample ID Date Type Sample Location / Description Lab# Start | Finish i Total Start |Finishi Volume | Method MDL s/mm 1s Grey + Brown /Nek EntAce. AN1723 ASBestos ic/ré ic/8 gret- Fibenglnss-keero iet wuír AaIZZY Aspaters jcey etsis lVorth side Poof AJ172I I/m ASAstos NYC 9/11 Public Portal Document 10 11 12 13 14 15 Relinquished by (Signature): Relinquished by (Signature): Date rix Time Date Time Printed Name & Agent: Printed Name & Agent: Relinquished by (Signature): Date Printed Name & Agent: Time Date (0-19 Printed Name & Agent: Time2us K. Iuglio Comments & Special Instructions Fax Results to 631-584-3395 White - Laboratory Yellow - Office Pink - Field

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NYC-WTC_000126063Source: NYC Law Department, mirrored locally

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