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345 CHAMBERS STREET; Block: 16; Stuyvesant HS

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000106890–000107152
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Scanned page image, NYC-WTC_000106922
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NYC 9/11 Public Portal Document

TAYLOR ENVIRONMENTAL GROUP, INC. pf o ~I 516-358-2955 130 JERICHO TPKE., FLORAL PARK, NY 1 1001 Fax 516-358-1780

LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTAC SAMPLER j I IATLIREL I gZDYEZ~ itAEl y! SEA ED IS) E NO tL i CORRECT CONTAINER (5 YE NO PR CT LOCATION: ~PR/OJECT N 1, r' MATRIX (CIRCLE ONE(pE • pivNl SOIL OTHER 9 t'it- iz1t%ic 1 SAMPLE INFORMATI N: PREA(FTzl SURFACE MATERIAL LABRESULT O/~t LABORATORY rI SAMPLE P LOCATION WOOD METAL BRICK OTHER a c LCD 0) c UccL os 335/- z I 'O x °

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TURNAROUND REQUIRED: ccy M S/ WSTRUCfI

NORMAL ❑ STAT ❑ BY I I RELINOUIS ED BY ISIGN/ JRE) I DATE }C•/j-d2 PRINTED NAME RECEIVED BY (SIGNATURE) DAT PRINTED NAME f / '01 TIME C Gab I TIME/7 - _ R tO ED BY IGNATURE) DATE PRINTED NAME RECEIVED 6Y LAB ISIGNA REI DATE PRINTED NAM

TIME __ TIME

WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT

NYC-WTC 000106922

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NYC-WTC_000106922Source: NYC Law Department, mirrored locally

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