NYC-WTC_000200071

CITY_21MC100_003266213 NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 <0362 516-358-2955 Fax 516-358-1780 CLIENT NAME/ADDRESS NYC-SCA PROJECT LOCATION: Stuyvesand HS SAMPLE INFORMATION: LABORATORY # SAMPLE# LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CONTACT: SAMPLER ISIGNATURE) Mamid Savou SAMPRER NAME (PRINT) DATE 1/14/02 TIME AL. Kazakou SAMPLE(S) SEALED CORRECT CONTAINER(S) PROJECT# M-477-13217-29881 MATRIX (CIRCLE ONE): WIPI PAINT SOIL OTHER W-ol w-02 w -03 т-он W-05 w-06 1-07 We08 RELINQUISHED BX (SIGNATURE) / NO NO AREA (FTZ) SURFACE MATERIAL WOOD METAL BRICK OTHER LAB RESULT LOCATION Room#1001, East side Ulnivent (back well) Roomt1001, south side Lefd Umivent (back wall) Roome 1001, South side Right Ulnivent (back wall) 200m#1007, South sidt Leld Ilnivend (Back wall) Room#1007, sonth side middle Univent (bock wall) Room=1007, South side Right Univent (lack wall) F/13 h - 49.0 x 49.0 49,0 X 190 <9,0 <9.0 49.0 F/B TURNAROUND REQUIRED: NORMAL O STATE BY / / RECEIVED BY {SIGNATURE) 49.0 COAAMENTS/ INSTRUCTIONS 6lr TAT. _PRINTED NAME LOFEHNOSHER BLISIGNATURE). asshiet (ATO) DATE 7/14/02 PRINTED NAME TМE 21:00 МL. Каганом DATE 7,14.02 PRINTED NAME TIME 21.00 secanof iuoygtieneuee WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT DATE TIME TIME DATE 7 14° ZPRINTED NAME NYC-WTC_000200071