NYC-WTC_000209694

NYC 9/11 Public Portal Document

^Z’/7Z Taylor environmental group, inc. I 30 JERICHO TPKE., FLORAL PARK, NY I 1001 516-358-2955 Fax 516-358-1780

LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAJvIE/ADDRESS CONTACT; LAWFlCR [Sh lEJ DATE TIME SAMPLEfSK SEALED SAMPLER NAME (Pfil.'J^ . /46s. J! cSKeris) no PROJECT LOCATION: PRCUECT « MATRIX (CIRCLE ONE): IPI PAINT SOIL OTHER //.S, SAMPLE INFORMATION; AREA (FT’I SURFACE MATERIAL LAB RESULT 2 LABORATORY H SAMPLE 1/ LOCATION V/OOD METAL BRICK OTHER

ii.£>O^ 41 C ?3Z J, -/X

f^y c A

M ‘iey'z. TeAc/ie^ aZ^ts^c

sl^f^ , 1

I X (2-e3o.», ij 401 PTt'^e-i'pi.

li/- ) X fZ pe^ »< O

1^ /rt e O |2 iSOxr, if Ro3 A 7a m "0 Xy /Xe ^■*' I § O J] CD 1^- tOy /Xe , ( X (2-pom nt AOi -Ya > z T z > TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS NORIAAL □ statQ by / / CD ; ^iz)40£ c CD RELINQUISHED BY^IGN^JRE) date PRINTED NAME RECEIVED BY (SIGNATURE) PRINTED NAME

o TWE o o RELINQdlV^ BY ISK^ATURE) PRIMTEP NAME RECEIVED BV lAB iSIGNATURE) DATE PRINTED NAME o co W.^2 4^ TIME l^{^ TIME ro o

NYC-WTC_000209694