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PROJECT NAME: L Jr, !L7 atQ,ni 7 / Qu PG1LGZ
PROJECT ADDRESS:
T1 1RN APC [IND TIME (rlrr.!e nne1- 4hr 24hr 4.bL 72hr
Result of ab
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Sample #I /i/~r I Area Being Sampled
l
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35
316 -+ 2
-37
8 - ►
— =Total Number of Samples on this Page
Sampled by (Inspector's Name):
Received at Lab by: J -.--i `'
Laboratory Name:
Fax 212.2279 b -
1 1 5 \Vest 30th 5trcei • I I th Fluor • New fork. V<<. fork 10001 • 213.2_79.1001 • 33ri =b6 3620 -
P % 1910 1 • 21 i =~. _ -3'-.955=
i l~i~n~ ,:If•i•'1' The Bdlicuc • Butte '0k1 • ?Ot) $ 81.'.u! rrc.'r
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NYC-WTC 000095386
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NYC-WTC_000095386Source: NYC Law Department, mirrored locally