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WTC

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000158971–000158973
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NYC 9/11 Public Portal Document ■nr. VW

5' - DEPARTMENT OF ENVIRONMENTAL PROTECTION EXECbTTVE OraCEJ 59:17 JUNCnOX W.VD.,.19TH FLOOR, CORONA, NEW YORK 11368-5107 JOXLA'f MIELE, SR., P.E., COMXSSIOKSR

NYC PgP (BANHM) ASBESTOS C LBfiP CONTROL PROGRAM OVERTIME AUTHORIZATION FORM

Bureau/Unit: /$ ' Location:1'7 ^^^<6 Distribution #: j Week Ending:

Weekly Attendance

s M T . w TH F s s 77a 7'/^ //

NORMAL "'ORK WTEK —nouns Emplovce Name: C«WL Seruce Tmx: Social SECuam*#:

/^/?gVzV I Pli I total overtime i5% annual salary in has employee exceeded 5%. redrement eligibility pres-ious 12 months Ihours-..... . —' ■— in O.T. 7 (yes / no) — month -' ■ I year......... ——hours aoHnBHKSnow atd/bv Date(s) Location(s) Reason(s) comp comp pay comp sir. prem. sir. pre. hoi.

« /

Report Totals i6 z Explanation: ?!.Sf.:cifyin (hc3pncebc’'^‘ i..e/ a0»yitiiiat^ploycc:? i-tn;!

Authorized & Approval Signaturc(s)

Ourcau Chicf/Commissioncr's Designee 7 "Approved |~~j Disapproved Date , ‘f/zy/o/ Date ,

NYC-WTC_000158973

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NYC-WTC_000158973Source: NYC Law Department, mirrored locally

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