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NYC-WTC_000209710

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000209710–000209711
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NYC 9/11 Public Portal Document }AYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE , FLORAL PARK, NY 1100) L097 §16-358-2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CUIENT NAME/ADORESS CONTACT: SAMPLER [SIGHATU DATE TIME SAMPLE (S} _, @ ~ W/ 14/2 SEALED yes) NO CA Hamid Ss vet SAMPLER MAME IPRINT) CORRECT AL, Lacoeoe’ CONTAINER|S} (“eS NO PROJECT LOCATION: PROJECT # MATRIX (CIRCLE ONE}: Stuy vessnd HS, Masry [raghy { } AINT SOIL. OTHER SAMPLE INFORMATION: 2 SURFACE MATERIAL AREA (FT?) LAB RESULT LABORATORY # SAMPLE # LOCATION WOOD] METAL | BRICK | OTHER Rowen 826 Month ¢/cfe W- . mt lla l vent (bavne pocg £07} | 7s GS. Reem #afO% Seoudh 3 )'ofe { Room w £08 Seuvh sieve wei ( x £90 Reon wv BO Seuwth Bide Z “ta w Leff Umiver? brew ual?) x a A Z Ream thos Ens’ sie WI | 4 Oo Lael bred (bcx wc) x f ? 2 Z Oo We (ty Fig ° ——| LO 5% D w < S Z F TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS Ss ax @eso€ds to lay&o, . - > Yon i212) 406-2935 wormatC) = star av / Gln SAS, a RELINQUISHED BY (SIGNATURE DATE ws Yop | PRINTED NAME RECEIVED BY (SIGNATURE) OnE 4/ PRINTED NAME ® WME 97/90 Wis | See, Rk . Dyed a TIME L ; Drudna- o ISHED-BY {SIGNATURE} DATE PRINTED NAME RECEIVED BY LAB [SIGNATURE] DATE PRINTED NAME oO S TIME TIME QO 4 WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT (oe) (oe) NYC-WTC_00020971 1

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NYC-WTC_000209711Source: NYC Law Department, mirrored locally

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