NYC 9/11 Public Portal Document
r·- r-·-1 r i
'
TAYL011 ENVIRONMENTAL Grwur, INC.
I JO JERICHO TfKE., flOl!A L /'J\RK. NY 1100 I
L. IL 1/'-~ ' I
516·.lSB-2955
f~~ 516-351l·17 80
LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMEN T
n1ENT NAMEfADO!lE>S CONrACf; ~M11LfRI~
--
_t'CA ~'
Of'alE
i'JIP;,{;i e...
T1ME. SAMPUlll
SE.M E D §No
~ ~,,#/,,/ _Gf't>J
fl
·~
SAMP<OR 1-IJIME jPRl(Uf' CoRRffT i
J? /.,,:;, £4~cP!:/ CONfAINERiSJ c:J£)No j
PROJECT LOV'.TION: rROJECT # -- '
!::,/., 'L vesq....,.,.j //~, Jl/9777S-2f7, 21gg;
/ M/\Tr.I)( (CIRCLE ONE!: ~ P~\IT SOIL OlHER ·---
Ii
,
Sr\MPLE INFORMATION; 1I
U,80RATDnY /I SAMPLE"~ LOCATION
AR&'l IH 11 SURFACE M!\TEfllAL
IA!l RfSULl Uj/f+ 7-·
f'--oo ""- ),<>r' f"c.,~
'WOOD MfflJ.. 9RICK O ll-li: R
y_ i
L--N 17
N~!/ ~a'-f'\ w,,...i~
\·O ,_ / ~-0 i
Il
--~---
1,,-.N \Q ~~"" )o( ,.,.._ 't>\x-'1 JR
L_Cf.o
_____ &o-m '\ko4f-\1oL'f \' 0 '.!--
-· ·-~
-·--- -
L-vJ q f-co1""' 301 /1,oD'(c \ .o ~-(__ c:_ 9- 0 -,
- - - -- A)<r"\\f-..-- e:->-J"r¥A-'l....?.
-- I
L.\J 1...0
~ r'5'
f'- """ --rl<~~ 'l:at,I"':,_ ~~ C1f j(_ L<f.o lI
--
(
\·D ?
-. .i
·- - · --·-- ·- - - -. ·· - - - - .; i
~.<JM J(~ ·ft.o"f'-- L_ 1- 0 !
v~-J 't, \
·-
j>J~r.... ~.:._.,./_7 'µ.?r,1-<'. -_ ·D -
___\______
,
- - -- ·
()(,_
- ''~
'vvJ 'l_.(..
-n~\/ IS A,Vv<- ~
L
..
- · - ·-- -·..
fi
1
-
~ -~
L-\,v L} fie\..-? 17l- f'v-J y( >
·-· --
f?.j rl t:!5&/;~ ri> 5J:y~:n {znj406- z:: s ~..s TllRNAROlJN D llEOUIREO : COMME N TS I INSlRUC IONS
n
H
NO~M,._LQ n,-.rO BV I I o4h V-IJv
H I f? E WlO~ GY jSIG 7UllEI /J V..P:
--·
PRINTED NAM E
Ii-< C L-/ / -:--..
OAIE RECE IVED llY l~ I GNAlUR EJ OAT( Jftl(' -L'il!NTW NAME ;
N
f--'
/ r]::...2,,~,. Y
~ '1E17r5t1rn ~YlllGNJ.lUREI
--
llME (lO.>
O,',TE
</r;l,I, )!>'< .r: <" .e:-..,,_,,,.r
PPINT!'D NAME
l------6 .,.jj>-7 L . TIME ( ~I- \L ·G, u 1l;t:2:L_
· -- -- - ~-
3: RfCEIVED BY !All (SIGNATURE I O~IE PRINHD r~AME
n
f--' ~ llME Tl!.ff
0 · --··-~-··--·--
0 WHIH . Or-FICE I YELLOW - IAn I i'.'MI'. n IFMT
I
0
0
ro
ro
--.]
ro
~
m
(Jl
NYC-WTC_000231215
OCR can misread numbers and units. Confirm readings against the page image before using them.