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Asbestos bulk sample chain of custody, 165 Church Street

Machine-extracted title · confidence 98%

Chain of custody form for asbestos bulk samples collected from the roof and various sections of 165 Church Street.

NYC-WTC_000126490–000126492

Folder label: “165 CHURCH ST

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Scanned page image, NYC-WTC_000126491
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NYC 9/11 Public Portal Document DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 SOEL A. MIELE. SR.P.E. COMMISSIONER BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Premise: Time:_ Inspector:_ 165 165 CHURCH 3:00_ampm De SHAH Print Turnaround Time : Immediate ILt 24 Hours 1 SAMPLE NUMBER 1.20223/A060012 2.20223/A060013 3.20223/A060014 1.20223/A060015 5.20223/A060616 6.20223/A060017 1.20223/AoL0018 8.20223/Aob0019 9.20723/A060020 10. DESCRIPTION Fittzeus dbuct "L 11 42 4 12 ANALYSIS REQUESTED: Asbestos PLM | J Late Time Accepted By 2. 3. 4. 5. IEP ACLP REV'SOO am Prim pm Sign am pm Print Sign am pm Print Sign am pm Print Sign am Print pm Sign Date Sampled: 2-23-02 BOro:MANHATTAN 48 Hours / / DBShah Signature 1 Week | 1 LLOCATION SAMPLED Raot mid Secken Ract mid sectian Roof N.WI EOINAT Root W. Section Ros Su Ee Eolaneta Root SW. Cornes Rosf N.E. Eoeaet Root Mid sestron Rool staiz side LAB ID Asbestos TEM | | Lead 1 Comments NYC-WTC_000126491

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NYC-WTC_000126491Source: NYC Law Department, mirrored locally

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