NYC 9/11 Public Portal Document
* DEPARTMENT OF ENVIRONMENTAL PROTECTION
DCECUnVE OFHCES
S9:irjONcnoK blvo., ifth floor, coroxa, new yorx IU68.5107 •
.JOEL AfKOELE,. SR., P.E., cOMXSaoKER
yyC PEP (BAKHM) ASBESTOS C XajlP COKTROt, PROGRAM
OVERTIME AUTHORIZATION FORM
Bureau/Unit: 2/?^p«S ~ fV
Distribution Ut St>OO j Week Ending:
Weekly Attendance
s M T .w TH F S
3Z
NORMAL WORK WEEK ■MOWS
Employee Name: CintSERsnCETiTLE: Social SecuiUTvii:
wo Uu _____ T
tout overtime 5% annual salary to has employee exceeded S*A. 7 rettoementeiigtbllii^
previous 12 months hours —i—— to O.T. ? (yes / no)-------- • month year
—-........ hours
EES »td/bv
Date(s) Locatton(s) Rc2son(s)
comp comp pay comp
str, prem. str. pre. het
“grt
Hi 9-3P-PI On Utc TTTT
I I? I I I I I
Report Totals
^^’Expianat'iSi this cmplo.vq/wis permitted tocarn to eiCCTsof5% orhis/licr saliirf
I_____ 5
Audio tSi Approval Signaturc(s)
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^pcr>4Xjr_
j I Approved
iureauJ&tTi'icuComniissioncr's Od^i^nce Disapproved
NYC-V\/TC_000158968
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