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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_000106897
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NYC 9/11 Public Portal Document . . . ae yf TAYLOR ENVIRONMENTAL GROUP, INC. Zz O 6 a mi 130 JERICHO TPKE., FLORAL PARK, NY 11001 516-358-2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT; SAMA TATURE) ATE TIME SAMPLE|S] ae fr - . o/s azn 2120 ‘| SEALED 7 NO NIC LC Harris Save | wT SAMPLER NAME (PRINT) CORRECT “er are CONTAINER(S) WES) NO PROJECT LOCATION: vyv esanl \A-S.| PROJECT # - MATRIX {CIRCLE ONE]: (\G PANT SOIL_—COTHER f LAD. ae¢S Chambers M17) - 15 247-2S EF) (es? Te” SAMPLE INFORMATION: ; SURFACE MATERIAL L777, AREA (FT?) LAB RESULT fl LABORATORY # SAMPLE # ; LOCATION WOOD] METAL | BRICK | OTHER 1o® Fluo e - Supply At ' J DN -OI® | ayer Py Room 7004 | v 1d, - Feu FAL Bele _— ZL Y0 Pele Fell Baek Japp rpr) K ZO TURNAROUND REQUIREO: COMMENTS / INSTRUCTIONS normat lL) stat av’ / 4 a ~ ' REL HED BY [SIGNATURE] DaEZ/a4 or he NAME RECEIVED BY [SIGNATURE) DATE PRINTED NAME N IME 2/ 30 /: he M © bene, we TIME RELINOUISHED BY [SIGNATURE] DATE 2b PRINTED NAME RECEIVED BY LAB SIGNATURE} DATE PRINTED NAME 18 ba. LS, THE ( ar SS ak TIME t Were mmeciorg + veri nies Are F rtaate were NYC-WTC_000106897

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NYC-WTC_000106897Source: NYC Law Department, mirrored locally

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