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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_000209881
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9T68787200 OOTONT? ALIO NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE , FLORAL PARK, NY 1100) ee Fe Be eB em Bw er 8 Ah ei o-390-2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT. ; EES 7 DATE TINE SAMPLE(S} i NO Neco sca / BUT Conese HW. Save WE 9 S/s/oe SEALED wn Wr 7 SAMPLER gtAQtE (PRINT) CORRECT 4A. Bo 2elov containers) (TES “NO PROJECT LOCATION: PROJECT # Suny vernad dis. N-4 17 1S AA 299 5/| MAIR [CIRCLE ONE): (FE PANE SOOTHER SAMPLE INFORMATION: SURFACE MATERIAL ___] AREA {FTZ LABORATORY # SAMPLE & LOCATION my WOOD} METAL | BRICK (OTHER LAB RESULT , I #/ FL 2 206 —- on com wtev LW-73 del fy euhonce | f L9G0 206 — on oor ~ ced -7y\ru ; Vv LW ef room f £9 ry V f be -7 yu 22O7- ow i € cobvet -7\|r™ 220 - om fer V 159- on jboor - Ly-79 |ym / L Vv hy avy te ~ eof wiudey 7 G Q fh ~7F vv 233 ~ om boun slest bo ot (C qT V 24 0 LN 80 | eh? = ow Ferris i VV g wide) / G 0 fpr 2(2- - OG- DST TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS narsacl} = stat OQ) ay / 6 Lor Tk RELINQUISHED BY [SIGNATURE DATE G/}4/)) | PRINTER NAME RECEIVED BY {SIGNATURE} DATE PRINTED NAME RELINQUISHEG,BY (SIGNATURE) DATE PRINTED NAME RECEIVED BY LAB {SIGNATURE} DATE & /2 | PRINTED NAME TIME g. DiyPre Lug. ume,dd vo! . D0 lv elle a NYC-WTC_000209881 WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT

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NYC-WTC_000209881Source: NYC Law Department, mirrored locally

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