NYC-WTC_000200115

GGP99TENN OOTONT? ALIO NYC 9/11 Public Portal Document “TAYLOR ENVIRONMENTAL GROUP, INC. “ 130 JERICHO TPKE., FLORAL PARK, NY 11001 Ht LUGS ee 0 516-358- 2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN, OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT: SAMPLER JSIGNATURE} TIME SAMPLE(S} ; - Fh afey Yor SEALED ES 4 NO WTC & CA Aon may SHO | SAMPLER yA E a CORRECT Link Chew: ne, CONTAINER(S} (YES NO PROJECT LOCATION: PROJECT # = . MATRIX (CIRCLE ONE): ( wip PAINT SOIL OTHER Sfoyvesad +S. M1 477 ~ (S8/7-2,798] Cee SAMPLE INFORMATION: LABORATORY # SAMPLE # LOCATION AREA (FT2) SURFACE MATERIAL WOOD | METAL | BRICK OTHER LAB RESULT “Ves L Li -4S Poom < SYOD -Flone v4 C4, 9 ‘ Pp CYT RAM. a Roem C suo fe - Floor tel-¥¢ | 2! perrionce | _ ¥ 9.2 ana en an % lan Pee) | Feld Blk - - 40 Faz c- Field Cll <= To a, FS a Fiel J Nis / peorfe. = — C 40 TURNAROUND REQUIRED: / COMMENTS / INSTRUCTIONS normal] star ay CUR Tay RELINQUISHD BY (SIGNATURE} DATES/13/y2| PRINTED 'VAME RECEIVED BY {SIGNATURE} DATE PRINTED NAME ZA TIME OOS Liel Me Ic CVTe TIME RELINQUISIKED BY\ISIGNATURE] DATE 9/43 ED NAME RECEIVED BY LAB [SIGNATURE] DATE &% /3 | PRINTED NAME WA. TIME OYS 2. Co VL ic en? \oQ RK, CSwuds Ate TIME % 3S Lh. BTU be A / NYC-WTC_000200118 WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT