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NYC-WTC_000209716

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000209716–000209717
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NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 516-358-2955 Fax 516-358-1760 fe PPO? LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT: SAMPLER [SUGHATURE DATE WME SAMPLE(S} - , a 7/270 %. SEALED CES) NO SCA Marti Ss A a SAMPLER NANIE (PRINT) CORRECT ees oO a CONTAINER|S| N PROJECT LOCATION: PROJECT & _ MATRIX {CIRCLE ONE): PAINT SOIL OTHER Stuyuessace YS, W477 - p§217[25 8) SAMPLE INFORMATION: AREA iFtt) | |__SURFACE MATERIAL sat RESULT LABORATORY #4 SAMPLE # LOCATION WOOD} METAL | BRICK [OTHER Roonw # ROZA Cod dns weld a ZAW-oO { <4,0 Exh Ousg A ou a Celbiwg unit /hw-0 Reo + ROT ele, og ur ) x 2G 0 WrO2 | Exhaust “acd ; Reom a Si7 Cedl,~4 aa x 2G O H/-O f u < ~~ —_— ee . Liw-og | e/a + 70 ——_., x © Li) w-0s Fie » <9.0 5 S) m U = O a) se) < i?) > Z $ Fey pesodys Yo Vaya at ‘ (#12) 406 - 2535" TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS 4 » norma) = sar ay / 6 hn VAY, S RELINQUISH, (SIGNATURE} DATE 7/27/ex| PRINTED NAME RECEIVED BY (SIGNATURE| DATE PRINTED NAME o ea TIME TIME oO 5 4 N 8 RELINGUISHED BY (SIGNATURE) DATE PRINTED NAME RECEIVED BY (AG (SIGNATURE) Ve Pte bag” AME @ TIME —— Ta TIME ; \ © WHITE . OFFICE / YEMOW -LAB/PINK-CUENT/ 7.) . . | rae "FN NYC-WTC_000209716

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NYC-WTC_000209716Source: NYC Law Department, mirrored locally

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