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NYC-WTC_000209735

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000209735
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8€ZE00000 daNS VLIVNNVOD AGHYOM d3d ALIO NYC 9/11 Public Portal Document ? TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY¥ 11001 LOETT $16-358-29S5 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT: SAMA (ATURE) yy TIME SAMPLE(S| ; . pps rfrafor 2122 _| seaten (69/ No NYC eam Hares NIN Sav | SAMPLER NAME |FRINT) "7 CORRECT “8 ae CONTAINER(S] (ES? NO PROJECT LOCATION: vyvesan \N-S.1 PROJECT ¥ MATRIX [CIRCLE ONE): (1 e ages chambers MU? - 15 212-2 PEL) { ) (Gre PAINT SOIL OTHER Uae SAMPLE INFORMATION: ; SURFACE MATERIAL yy 4b AREA (FT?] LAB RESULT fl LABORATORY # SAMPLE # LOCATION WOQD) METAL] BRICK | OTHER - Poony Arte J jo’ Flow ee Supply ai WJ. OLK 4. bd oO} DUCT by Roe 700% | Y / n rant | BAL Blake —-+}+4-| 4 LO FELL. Fiel\ Blak — A g. — TURNAROUND REQUIREO: ow? (PX COMMENTS / INSTRUCTIONS NYC-WTC_000209735 Were NCCI - vei ane ba on nee meee NORMAL a STAT , REUNOULHED BY [SIGNATURE] DATEZ/26/ ie NAME RECEIVED BY {SIGNATURE} DATE PRINTED NAME N ume 2/ Zo hel Me bende TIME RELINOUISHED BY SIGNATURE} wey PRINTED NAME RECEIVED BY LAB {SIGNATURE} DATE PRINTED NAME E ed USE, TE (40 7 lark TIME t

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NYC-WTC_000209735Source: NYC Law Department, mirrored locally

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