NYC 9/11 Public Portal Document
department of environmental protection
EXECUnVE OFFICES
' -Y -• S9;17 JUNCnOX BLVD., 19TH FLOOR, CORONA, MEW YORK lt368.S107
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SR., P.E., coMMtssiOKER
NYC PEP (BMWM) ASBESTOS 6 XSftP CONTROI. PROGRAM
OVERTIME AUTHORIZATION POEM
Bureau/Unit:
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Distribution #: 5e>oo Week Ending: ^2^ "* f
Weekly Attendance
s M T . w TH F s
s f
K s T
NORMAL WORK WEEK
Emflomx Name: Cint. Serucx Tmx: ' SocuLSECURm*#:
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S. A^o^u^p-Urv
total overtime S% annual salary in has employee exceeded 5%.
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r^wv*'««yrvM«-vn^l)(Znnj---------------
previous 12 months hours —■ ' — ..... — in O.T. 7 (ya t no)------- month — year ——.
——hours
TIME AL 2t^
Oate(s) Locat!on(s) Reason(s)
comp comp piy comp
atr, prenu str. pre. hot
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Report Totals
if/h £xpianatioh:^.S(.;eiry:sn (hespnee below thereason^wby-dns emploj'cc wasj
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Aut & Apptoval SignaturetsI
Date
Bureau CliicfZCommisstoncr's Designee Date
NYC-WTC_000158970
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