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WTC

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000158981–000158982
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Scanned page image, NYC-WTC_000158982
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NYC 9/11 Public Portal Document

A r arZlH.-------- DEPARTMENT OF EN5'TRONMENTAL PROTECTION

B " ••Kj

EXXCUnVE OFFICES S9:17JUMCnOX BLVD^ 19TH FLOOR, COROXA, NEW YORK 11368-5107

,JGEL A'/MIELE, sr., P.E., COSZMSSIOKER

KYC PEg (BANHM) ASBESTOS C MWiD CX3NTROL PROGRAM OVERTIME AUTHORIZATION FORM

Bureau/Unit: ' ' Location:

Distribution #: Week Ending: Weekly Attendance

A 4- M T . W TH *7 F S

NORMAL WORK WEEK 4IOURS Ml • J Employ^ Name: Cmt Serstce Title: SOOAL Security#: HI total overtime 5% annual salary in has employee exceeded 5%^ ' . retirement eligibility' previous 12 months hours ... in O.T. 7 (yes Z no)--------- month year ——— hours Tut E ALLOCATION 2^ Date(s) Location(s) Reason(s) comp comp pay comp str. prem. str. pre. hot.

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Report Totals, r M?(ExpIan£tion£;;j£S£?a(y7irtlic2pa£<Hclow2he^^ ccssbf5% of hisHier salary^?

Authorized & Approval Signalurc(s)

Supervisor / Date _ Bureau Chicf/Commissioncr’s Designee Appro' cd Disapproved Date

NYC-WTC_000158982

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NYC-WTC_000158982Source: NYC Law Department, mirrored locally

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