NYC 9/11 Public Portal Document
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DEPARTMENT OF ENVIRONMENTAL PROTECTION
£X£CimVE OFFICES
59-17 JUNCnOX BLVD., 19TH FLOOR, COROXA, NEW YORK 11368-5107
,JGEL A'/MIELE/ SR., P.E., COMXSSIOXER
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KYC PEP (BMOaq ASBESTOS 6 Xa»P COKTROL PROGRAM
OVERTIME AV?HOR1ZAJIOW FORM
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Distribution #z ____________ Week Endin'
Weekly Attendance
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NORSUL WORK WEEK .Wfc'*:, । noons
Empixivee Name: Civil Service Title: Social SECURITY#:
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total overtine 5% annual salary In has employee exceeded 5%. retirement eligibility
previous 12 months hoort inO.T.7 (yes / no)-------- month ———. year—
———hours
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Date(s) Location(s) Reason(s)
comp comp pay comp
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Report Totals
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Bureau Cliicf/Commissioncr’s Designee
Approved Q Disapproved
Date
NYC-WTC_000158971
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