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NYC-WTC_000187336

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000187336–000187338
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i5 4 o o CD g o I “0 o c o CT o o' oo "0 Ca5 o Ca3 O> r Hillside Avcildc. Si.ao ICO • Nc\y iioaichc • 1*1 9L (D14) (532:1532 Tolqihone (014) (532-I55B FclCSlmllc O o o c PCM’Xir?Sample Analysis and CaJlbradon Form 3 o 3

Job NuinbcnlOlITl ; F- Final Clearance PBge _1_ of _2_ Joi) Name: WTCPCM P » Pre-Abaienieni Daie; /// Izj 01______ Work zvea; N/A I - inside Work Area Field Technician:^vOh Coniracior: M/A " V' O » Oulside Work Area Projeci Manager: R Flvnnap’s Slilfi 1 lours: M/A A • Ambient. Outside Building Number of Workers: N/A iniilal Final Avcrajjc Total Tolal FlIxirsAx Sample Sainiile I’limp I’low J’Jnw Plow Time Time Till)© Voinnio Lin III of NIOSII Nn)>)ix!r anti Activity' ^ IViii? Ninnlxir naic(UT» i^ic.ib-n) Rnie(lAn) On 0(1 (Minutest liners) Deiccllon 7400 01 II Perk Place/Church - • - 02 (I 12 Park Placg/Greenwich -■AW» 6-2^ Jr Ar 03 II (2 MufTay/Chtiroh - 6’0^ i<i-€ 1^-. 12 Ar 04 (I (2 Murray/Greenwlch ■ a ■ A G- OT IT IT <9^: or (9^ 05(1 12 Fulton/Church' IT IQ: OQ 10 Tq 19 II II Trinily Pk/Thames ■' ■ G- 01 IT fh 1111^ 12-GO 20 II 12 Vesey/West Broadway v A-^> G-19 IT (I 6 1<9-/T 11-00 . kT

Callhriillon Method: Signature: <yu>

o Chain of Ciislocly H neleaserl Ity: AcccpiwJ by; UM Dale; /( 111 uol k; I Slgmiiufc: Signature: Time: UV (fe? aE=.

I o Kuleasedby: Si iiure .. <y • Dnie;mA»^ Acecpiud by: Signature; Dale; Tinto; o Heleascdtiy: Accepierl by: Dale: I o SigAaltire: Time; o agitaiure; .. •'

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NYC-WTC_000187336Source: NYC Law Department, mirrored locally

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