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Asbestos bulk sample chain of custody form, February 2002

Machine-extracted title · confidence 95%

Chain-of-custody document for asbestos bulk samples collected in Manhattan with immediate analysis request.

NYC-WTC_000186779
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Scanned page image, NYC-WTC_000186779
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE / SBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 X>EL A. MIELE. SR.P.E. COMMISSIONER BULK ANALYSIS CHAIN OF CUSTODY

Incident No.: Date Sampled:. ?- - 2.^-^2. Premise: I Boro: YW AM HATTAW Time: Q Inspector:. .£.HAa Print Signature

Turnaround Time Immediate | 24 Hours | | 48 Hours | | 1 Week I I

i SAMPLE NliMBEB ilpESClUPTlON lliiilli L^WCaTIQN SAMPLED IL ■ A >2022^7 A t~ .1 A

2^2.0 3J e 2g>2.7 ^7Ag>Zg>o 5. 2 ^>223

6.

8. 2c>2 23 /

9.

10.

ANALYSIS REQUESTED: As

sis Time 1 am Print pm Sign

2. am Print P"* Sign

3. am Print pm Sign

4. am Print pm Sign

5. am Print pm Sign lEf *CLP REVMie

, a VH

CITY_21MC100_002942924

NYC-WTC_000186779

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NYC-WTC_000186779Source: NYC Law Department, mirrored locally

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