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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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Scanned page image, NYC-WTC_000200080
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NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 CLIENT NAME/ADDRESS NYC SCA: PROJECT LOCATION: STUYVESANI H.S. SAMPLE INFORMATION: LABORATORY # SAMPLE # GHRSTAT 20506 516-358-2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CONTACT: SAMPLER (SIGNATURE) DATE TIME SAMPLE(S) Tarko z6 SAVOJ. SAMPLER NAME (PRINT) Yefat SEALED YES)NO HAHID PROJECT # 4477-15219/29881 CORRECT CARLOs JOFAT CONTAINERIS) YES ŽNO MATRIX (CIRCLE ONE): (WIPE PAINT SOIL OTHER Lw-D9. FB- 1 FB - 2. LOCATION ROOM. # 824. Right Unit VENt → REAR. FIELD BLANK FlaLD BLANK AREA (FT2) SURFACE MATERIAL WOOD: METAL BRICK OTHER LAB RESULT 11.3 - - - <9.0 69.0 CITY_21MC100_011273826 RELINQUISHED BY (SIGNATURE) Cart, Oppt RELINQUYSHRD BY ISKINATURE) DATE 714-02 PRINTED NAME TIME /60O CANLOS JOKAT DATE 9.19.0Z PRINTED NAME TIME 5001 M StrANciS WHITE- OFFICE/YELŁOW-LAB / PINK - CLIENT TURNAROUND REQUIRED: NORMAL O STATD 0x / / RECEIVED BY (SIGNATORE) DATE 44071960 TIME RECEIVED BY LAB (SIGNATURE) DATE TIME COMMENTS / INSTRUCTIONS NIOSH Method 7082 PRINTED NAME PRINTED NAME NYC-WTC_000200080

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NYC-WTC_000200080Source: NYC Law Department, mirrored locally

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