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NYC-WTC_000209878

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000209878–000209882
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Scanned page image, NYC-WTC_000209880
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NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. (30 JERICHO TPRKE., FLORAL PARK, NY 11001 des 51645875955 Fax $16-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT: SAMP, é) a TIE SAMPLE |S) {8 / No , &/ SEALED SCA / Cher. bars xt H . S ave} SAMPLERFOME PAT) (502 B. Vsrolov CORRECT 2 / NO PROJECT LOCATION: PROJECT # CONTAINERS] Sty VeSoud HS. (1. 471-} 5217 -29 39) MATRIX [CIRCLE ONE): dis PAINT © SOIL. OTHER SAMPLE INFORMATION: SURFACE MATERIAL f LABORATORY #f SAMPLE # LOCATION area woop| METAL | nrc Jonier LAB RESULT SEY, PLE _| LW-G66 Teh toto / £G0 yu 205 2 - om inehel - Vv LW-67 file Cohvwel ¢ £¢ 0 ~69 | ym 20S C mom flea - LW ~ 9% cu fie pihelle g ys 7 v “90 - vin LO9D - em compebler _ ym 203D - on flee - V y vin ZO5E~ ot Iie cohiuet . i ¢ um 205 E wy Woot hy mada) : Ly FD | Teoud | 1 / ZIO 4 z is x - WE 06-2335 TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS iS a normal) = star ay / Cl. Th A : RELINQUISH [SIGMATURE} DATE Slu/y pl PRINTED NAME RECEIVED BY [SIGNATURE] DATE PRINTED NAME LE WWE 22447 i Geotece TIME S | RELINQUSHED BY (SIGNATURE) DATE PRINTED NAME RECEIVED BY LAG (SIGNATURE| DAG /J | PRuNtEO NAME 5 UME kL. BrP le AIH A. me £3, yo, 7. DrouoWwH ae NYC-WTC_000209880 WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT

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NYC-WTC_000209880Source: NYC Law Department, mirrored locally

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