NYC 9/11 Public Portal Document
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DEPARTMENT OF ENVIRONMENTAL PROTECTION
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S9-17JUNCnOX3LVD., 19TO FLOOR, CORONA, NW YOR-K 11368.5107
JOEL A. MIELE, SR., P.E, cOMMBStOKSR
KYC ggg (BAHKH) ASSSSTOS g LEAD CONTROI. PROGRAM
OVERIIMS AOTHORIZAIIOy FORM
Bureau/Unit: - ' Location:.
Distribution #: Week Ending:.
Weekly Anendaace
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NOIt»MLWOItKn'C£X ■HOURS
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total overtime 5% annual salary.In >. has employee exceeded 5%.
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retirementeligibility !.«
previous 12 nooths - hours imO.T. ? (yes / ao)------- month......... . ■ year—.L. . i .
■ ■ hours
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DaTe(s) Loeat!on(s) Reason(s)
CORP CORP .pay corp'
str. prcR. str. pre. hot
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Supenisor Date
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Bureau ChieffCommis^ioRer’s Des 10' Date
NYC-WTC_000158984
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