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NYC-WTC_000200115

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000200115–000200118
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CITY_21MC100_003266454 NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 1 1001 #21096 JE LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS NTCSCA PROJECT LOCATION: Stuyvesant H.S. SAMPLE INFORMATION: LABORATORY # SAMPLE # CONTACT: HAMiA SAVOJ PROJECT # +477-15217-29881 SAMPLERISIONATUREI TIME SAMPLE(S) SEALED SAMPLER NANE (PRINT) Kitk MeeNiie CORRECT CONTAINER(S) MATRIX (CIRCLE ONE): WIFE ) PAINT OTHER. AREA (FT2) SURFACE MATERIAL LAB RESULT WOOD METAL BRICK |OTHER 516-358-2955 Fax 516-358-1780 YES ) NO YES NO LW-35 140-36 LW-37 LlS-38 1W-31 LW-40 2W-41 1W-42 RELINQUISHED BY (SIGNATURE) RELINOUSHER BY (SIGNATURE) 118/172 LOCATION RooM K540 B-FlOOR center pooM K540 B-Trble Top-noth sibe RooM KS4OC-FlooR Center RooM K540C-Table Top Room K540 A-FlooR Center RooM K5401-T0p 8l MiDDLe Service CounteR CAfeteRiA -FlDOR Center Cafeteria -Tuble Top NESIDE conposit (9° composil 19° <9.0 composib <92 X <9.0 X <9.1 TURNAROUND REQUIRED: NORMAL OD STATDI BY / / RECEIVED BY (SIGNATURE) COMMENTS / INSTRUCTIONS GHRTAT PRINTED NAME DNTE 8/12/02 PRINTED NAME TIMED415 Kiik Makenzie DATE 8/13 PRINJED NAME G. mh RECEIVED BY LAB (SIGNATURE] R.Droudina WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT TDATE TIME DATE 8./3 PRINTED NAME TIME 4,35 R. Drordina NYC-WTC_000200117

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NYC-WTC_000200117Source: NYC Law Department, mirrored locally

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