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NYC-WTC_000200130

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000200130
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Scanned page image, NYC-WTC_000200130
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NYC 9/11 Public Portal Document sz;^ czj t ' EZZJ r J CLl r f. ■....”1 r s__ I i J LI L. J Taylor environmental group, inc. 130 JERICHO TPKE., FLORAL PARK, NY I 1001 516-358-2955 Fax 516-358-1780

LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT; SAMI iNATUREI [yiTE / TIME SAMPLE (S) SEALED YES /NO

/^zc ^c/T- , PROJECT LOCATION: V'eS=t‘U~ SAMPLBRINAME (PRINT) / CONTA?NER(S)

PROJECT # matrix (CIRCLE ONE): ZwiFf A PAINT SOIL OTHER <37 SAMPLE INFORMATION; SURFACE MATERIAL AREA (FT’) RESULT LABORATORY # SAMPLE # LOCATION WOOD METAL BRICK OTHER

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Q H ■2,1 V - 1.S'2 s' TURNAROUND REQUIRED: ?n? hO NORMAL □ STAT □ BY '^(^7 'T); s O RELlNOy^ZlED BY (SIGNATURE) -3^^- 17^^ date^z^tL printed name ” RECEIV^^^^^r^^) 3U’.8tNTED-NAMF^Ty^ , o I '( o I TIME o

raw o RECE^IVED by lab (SIGNATURE) DATE PRINTED NAME co RELirjWISHED-BY (SIGNATURE) DAT^'i£ZTj72 OA TIM^« OA TIME Cn OA WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT

NYC-WTC_000200130

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NYC-WTC_000200130Source: NYC Law Department, mirrored locally

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