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NYC-WTC_000200079

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000200079–000200080
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CITY_21MC100_ 011273825 NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO ТPKE., FLORAL PARK, NY 11001 GHRS TAT 20506 516-358-2955 Fax 516-358-1780 CLIENT NAME/ADDRESS N'YC SCA PROJECT LOCATION: STUYVESANT. H.S SAMPLE INFORMATION: LABORATORY# SAMPLE # LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CONTACT: SAMPLER (SIGNATURE) DATE TIME Car. SAMPLER NAME (PRINT) Jofat SAMPLE(S) SEALED TESI NO 2-19-02 HAHID SAVOJ. CORRECT CARLOS JOFAT CONTAINER(S) YES DNO PROJECT # +477-15217/29881 MATRIX (CIRCLE ONE): PAINT SOIL OTHER LLU -01 LW-OZ. LW-03 LW-04 LOCATION ROOM #902. LEFT WNIVENT - BEAR. ROOM# 902 RIGHT UNIT VENT → REAR. ROOM # 804 LEFT UNITVENT → REAIZ ROOM # 804 RIGHT WNIT VENT -S REHR. ROOM# 815 LEFT UNIt VENT → REAR R00M# 815 Right LINIt VENT → REAR. POOM # 827 LEFT UnIt VENt → REAZ ROOH# 827 CinteR Unit VENt→ REAR AREA (FT2) SURFACE MATERIAL WOOD METAL BRICK OTHER LAB RESULT L 19.0. fi2 1 <9.0 49.0 <9.0 1 LW-05 1 49.0 LW - 06 L <9.0 4w-07 1 69.0 hw-08 29.0. RELINQUISHED BY (SIGNATURE) Carlos CBfafet RELINQUISHEDEY (SIGNATURE) DATE 7-14-02 PRINTED NAME 1 TURNAROUND REQUIRED: NORMAL O STAT O BY / / RECEIVED BY (SIENATUREL COMMENTS / INSTRUCTIONS NIOSH Method 7082. DATE PRINTED NAME TIME 1600 CARLOS JOFAT оз тнк DATE 719-02 PRINTED NAME TIME SoDpn .tRANcis RECEIVED BYLAF ISIGNATURE (IETME PRINTED NAME Fax:os.lts tafaat WHITE - OFFICE / YELLOWLAB / PINK - CLIENT alca otftce. NYC-WTC_000200079

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NYC-WTC_000200079Source: NYC Law Department, mirrored locally

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