NYC-WTC_000200098

NYC 9/11 Public Portal Document *TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 CITY 21MC100 011273844 CLIENT NAME/ADDRESS SCA 030210496 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CONTACT: SAMPLER (SIGNATURE) DATE TIME 8/02/02 Hamid Sauog PROJECT # 1477-75217/29881 SAMPLER NAME (PRINT) AL • Kuzakou SAMPLE(S) SEALED CORRECT CONTAINER(S) MATRIX (CIRCLE ONE): WIPE PAINT SOIL OTHER 516-358-2955 Fax 516-358-1780 PROJECT LOCATION: Stuyuesant H.S. SAMPLE INFORMATION: LABORATORY # SAMPLE # W-я1 n-o2 W-03 w-04 LOCATION 200m#939 Teachons table Lowen Ead. R00m # 939 1loon by window Umivent Roomm935 Teuchens taßße Lomen Exd ROOmA935 flaon by west side Estnance Room# 931 Tenchen table w-05 Room 1 931 fooK W -06 S-E CORNER, Room * 929 Book shell w-07 bu Eatrance R00m #929 feoon w-08 by window. Fax Fesoels to Faylon om sife (212) 406-2535 RELINQUISHED BY (SIGNATURE) Alo - RELINQUISHETOBYYSIGNATURE) 'ÉŞ/ NO YES / NO AREA (FTZ) SURFACE MATERIAL METAL BRICK OTHER LAB RESULT Mgrerz WOOD A.K. 1 X 410.0 X X X 1 / 02 AUG-2 X EIVED ANHATTAN TURNAROUND REQUIRED: NORMAL O STAT O DATE8/02/02 PRINTED NAME RECEIVED BY INE 1530-AL. Kazaкon Tose Quirze DATE SZ1O ZRINTED NAME RECEIVED BY LAB (SIGNATURE) TIME 4ISOm S.FZANCiC ter WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT COMMENTS / INSTRUCTIONS ТАТ DATE 8.2.02 TME 4:24pM DATE TIME PRINTED-NAME Josér ARMUNGAt PRINTED HAME NYC-WTC_000200098