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Chain of custody form for asbestos bulk samples, 114 Liberty

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Form documenting the collection and chain of custody for asbestos bulk analysis at 114 Liberty Street.

NYC-WTC_000154968–000154975

Folder label: “114 LIBERTY 1 OF 2

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NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF AIR, NOISE & HAZARDOUS MATERIALS A^BESTOS/LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOEL A. MIELE, SR., P.E. COMMISSIONER

ASBESTOS CONTROL PROGRAM BULK ANALYSIS CHAIN OF CUSTODY

Incident No. TEu.oa*?5tw>uo3 Date Sampled: 3lnl»i Premise: ItM A ________ Time Boro: yXsl_______ Inspector: ^UeA»<g||y TURNAROUND TIME: 24HRS I 1 48HRS [ ] 1 WK I J 2 WKS [ ] 4 WKS [ ]

, DESCRIPTION .WS^ItbcXTibN'''^ -f;; 25Ij ' 4«fe 253Z 3 0'sysn I $3T g^gfn 35T 7 jAftlA O»>7 bcAM 351 ..5^2-

ANALYSES REQUESTED Asbestos PLM [^] Asbestos TEM [ ] 34/ Jdik Lead [ 3 ] i-‘i.^LU"i!ii.i

' -dAtbY: TIME : <■ ACCEPTED BE CO-MENTS •Tip rX4AzSpoj«7- T?* ^->9®. * 4’^s^ SIGH /l/LAe^'^

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NYC-WTC_000154968

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NYC-WTC_000154968Source: NYC Law Department, mirrored locally

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