NYC-WTC_000209693

OlvE00000 daNS VLYNNVO AGYHOM dad ALIO NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 Hold 16 O 516-358-2945 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS COA CQNTACT: SAMPLER incypsperer7 DATE TIME SAMPLE(S] ‘GD JO QV A awe & “Sova { [30 Oe N R SEALED ‘ v SAMPLER NAME (PAINT) CORRECT TES n SP olcane, le CORE cap XESS NO PROJECT LOCATION: PROJECT 4& ——t ‘ _ MATRIX (CIRCLE ONE): FE PAINT SOIL. OTHER 345 CSnombit a Wo Phe, eects! } 2593) SAMPLE INFORMATION: 2 SURFACE MATERIAL > AREA (FT4) LAS RESULT LABORATORY # SAMPLE # LOCATION WOOD] METAL} BRCK |OTHER Cw \ OOA loo A GO) |wt Be | \ Iw \ (96% O72 eases Bele , \ x cw QOr* anyon \/ Os geor se \ 4 [Orb BF loo of FWY 2-t l x OS rr 10lO®% Shel EQ -\ Seals Mele Thee PSAX GQ Ts! SIO8 56 Z2\2~ ASS TSS TURNAROUND REQUIRED: p norma) = star ov COMMENTS / INSTRUCTIONS RELINQUISHEO IGNATURE} DATE PRINTED € RECEIVED @Y |SIGNATURE) DATED og PRINTED NAME Sp Notley Pon oz TIME aij ‘ = TIME ae. Ps OAly RELINQUJSHED BY SIGNATURE) rae g J ° PRINTED NAME RECEIVED §&Y LA® {SIGINNATURE} DATE PRINTED NAME Af C TIME TIME NYC-WTC_000209693 AVHITF - OFFICE / VFLIOUWW ~ GAR / PINK - CLIFT