NYC 9/11 Public Portal Document
Ol DEPARTMENT OF ENVIRONMENTAL PROTECTION
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59-17 jwenox BLVD., 19TH FLOOR, COROXA, NEW YORK 11368.5107
JOEL Ar LEy SR>« P«E./ coyxassJONZR
NYC DEF (BAKHM) ASBESTOS 6 LBfrD CONTROL PROGRAM
OVERTIME AOTHORI2AT2ON FORM
Bureau/Unit: CL * * Location:, K ■
Week Ending! 9~ 0(
Distribution#; SOOO
Weekly Attendance
s M T W TH F S
DFF IT/Z-IV/z-1772,1/8%
e
normal «*OaK «XEK. 30 MIOURS
CtviL SERncE Title: Social SECU1UTV6:
total overtime 5% annual salary la
_ e-A-jsr
has employee exceeded 5%. .
PU
retirement eligibility
prm*iouB 12 months hours' In O.T. ? (yes / no)------- month year
- ■ hours
HESaHKOaiECj ttdZbv
Date(s) Loeation(s) Reason(s)
comp comp pay comp
str, prew. str. pre. hoL
|3 I
Report Totals 3 .
iplant ;{.;«fy-M^c.3PBcc, ■fl'
Authorized & Approval Signature(s)
Supen*isor a
------ -
"Approved Q Disapproved
Bureau ChicC/Conimissioncr’s Designee Date
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NYC-WTC_000158978
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