NYC 9/11 Public Portal Document
Department of Environmental Protection
Executive Officas ".
59-17 Junction Blvd. 19th Fl., Corona, NY 11368-5107
The
Ciyf
New York
Joel A. Miele, Sr. P.E. Commissioner
NYC DEP (BANHMT) Asbestos & Lead Control Program
Overtime Authorization Form
Bureau/Unit : Air, Noise, & Hazardous Materials
Distribution # 5000
Location: 59-17 Junction Blvd. 8th Fl
Week Ending
10/13/01
Sun
Mon
Weekly Attendance
Tues
Wed
Thur
11
11
9
7
Fri
11
Sat
11
5
Normal Work Week
35
Hours
Empioyee Name
Caristien Lutchmedial
Total Overtime Previous 12
Months
35 Hours
Date
Location
10/7/01 WTC
10/8/01WTCHatr
:10/10/01 WTC
10/12/01 WTC
13 sat.
Civil Service Title
Social Security Number
Associate Lab Microbiologist
PII
5% annual Salary in
Has employee exceeded 5%
Hours
lin OT (yes/no).
Reason(s) Time allocation
ER/Stdby
Straight
ER
BER
TER
Retirement Eligibility
Month
Year
Comp Str
(comp Pem Hioto
Std by
Pay
456
77 Holeday
Pay
7
ER
Comp
5
(5)
yti empoyses
tl fg
Report Totals
Explenatest pecty nte
ow ho reason
Authorization & Approval Signature(s)
Supervisor
R.Rashn
Bureau Chief/Commissioner's Designee
0
Approved
Disapproved
Date
Date
10/15|01
NYC-WTC_000158945
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NYC-WTC_000158945Source: NYC Law Department, mirrored locally