NYC 9/11 Public Portal Document
MUST BE CARRIED ON ASBESTOS PROJECTS
CEATIFICATE NUMBER
AH 02-18805
EXPIRES
PI
ADDRESS CORRESPONDENCE TO:
(Include certificate number)
NYS Department of Labor
DOSH - License and Certificate Unit
PO Box 687, New York, NY 10014-0687
SOCIAL SECURITY NUMBER
PII
EYÉS
HAIR
BRO
BLK
WEIGHT
HEIGHT
23Qbs.
5ft.
08
171417C
vUо V0191?
STATE OF NEW YORK
DEPARTMENT OF LABOR
DIVISION OF SAFETYAND HEALTH
ASBESTOS HANDLING CERTIFICATE
AUTHORIZED
CLASSES
C* SAMPLING TECHNICTAN
(10704)
D
H
TNSPECTOR
(12/03)
- PROJECT MONITOR
(12/03)
FRED T ORIALA-AGRODZA
PII
RICHARD CUCOLO, Dírector + For the Commiesioner of Labor
nocumo coe rott
NYC-WTC_000132485
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000132485Source: NYC Law Department, mirrored locally