NYC 9/11 Public Portal Document
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DEPARTMENT OF ENVIRONMENTAL PROTECTION
EXECimVE OFFICES
5947 JUNCnO.\’ aX-VD., 19TH FLOOR, CORO.'iA, NEW YORK 11368-5107
JOEL *A.■'MIELE, SR., P.E., coMMSsioxsft
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NYC PEP (BARHM) ASBESTOS 6 ia»P COKTROL PROGRAM
•a? OVERTIME AUTHORISATION FORM
Bureau/Unit; * * Location: •s^-nrui,dL S/iA
Distribution #: __5sS Week Endiog: SfffQ/
WeeWy Attendant
S M T , W TH F 5
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KORXUt WRK XXXEK * 4IOURS
Employee Name: Civil Seruce Title: f”" SoaALSCCUUTV*: *
TAibUSTjeial
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total overtime S% annual salary in has employee exceeded 5%. '-nmwnnenx-iHignniny----
pres-ious 12 months hours———— in O.T.7 (yes t no)—— month year
——hours
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Date(s) t.ocation(s) Reason(s)
comp comp pay comp
str. prem. str. pre. hot.
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Report Totals
AufthoAe^ »: Appro' re(s)
___
Supervisor
Bureau Chicf/Commisstoner’s Designee pproved Disapproved Date
NYC-WTC_000158972
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