NYC 9/11 Public Portal Document
r-1 r 1 r ·1 ; -·1 r·1 1 ·t r· -1 r ·1 r--·t 1 r ·- -!
~J
7 7~~-- l r · 1 f · ·1 F" t
<.
TAYLOR ENVIRONMENTAL GROUP, INC. i
130 JERICHO TPKE., FLOMl PAllK, NY 11001 C 1-f O.s T ,4 T s 16-3'>6-1'155
Fa~ ~ 16-3~6-I 161l
LEAD SAMPLING DAT~ AND CHAIN OF CUSTODY DOCUMENT
CLIENT NAM~!J.DDRH~ CO NTACT: S•MFL< ~ LG,l\1U!l fl Lt DAIE llME illMPLE !IJ
~)No
.:'.?~ ...... dL. :hi ~-/7-02. SEALED
~~L s cf'.·
f·J/'H'l ljl SAVO_). )J\fJ1lE R OM'IE jFtl>if] R, I
COfillECT
cmir111r-irn1~J
( '
YEY 1 NO
PROJECT LOCATION: PROJECl I
,;.p fl l..o _., fo "'
1:-4~'',J I -6 °'~" ~~
Ml\JRV< {ORCL[ ONEJ: P.>JNJ \OIL
_S'ru, 1vcs µ/.ll H· .!; . tlW/'1-!S;l.•I ~
SAMPL E INFORMATION· SURFACE MAIERIAL i
I
M EA lfr'J 1/18 REIULl .
IABORATORY II SAMPLE II LOCATION \VOOO MCTJ'.l ffflfCK OTllfR
-r I
1! o<> 1--1 .P ID ID )_£ft ;4ch . }
,lLV - 0/ /) l"ll r_µi d;iti<-/:. w(l LL ! / I lo ( I
/!Do>! ti ID JO Cfµ jf1Z
/
l
;f,(
l
).._ lJ) - 02. J, AL:C ru .,LL. 1
~· ·· --- - - ~!JJ" urwT j
)!Q('.»1 ii
J
/010 /!.19!cl ,;l[l-.::.
/
I- w - ()'~ t.l..,1 ~~,.,+ .1.<i.ci: 1µAU- J i/l-
Lj',/[J
J
-
f 13 I 1=-1' 1-ll fllflvr::. ~ --·-· -
-· ~-~ -·--·· - -
I
.I
-- -- !'
F IJ ;i. ,_-, ( L J> 13 )_ {1 "-Jr.... ~J1D
~ -~·
·~ -
t
I
- ~ ·· -· ·-
- - - - _L .
WRN4ROUIJO 11E OU l~EO: COMMU N.I /1Nl/RUC710NI ti J//d -r;i l
(") timhv.t O ST/\I 0 ~y
j I /r,..,,., ,.-,, TE& tll (?12.) •iob - 2f3S"
H
>-l REliNOl.MHEO ll¥ jSJGNAfUREj
(?c,_J,. (~-/ff
llAIE 7-f1- iJ• l'Glt.fTWNAME
7faUY !SIGNAT Rfl~ VME Plill'IJEO NAME
~
I
N
I-' REUfJOlJISliW BY J4Ji"ATUREJ
uME 1t..;O
-··
CMl.c.D.!. JOFf''f
- /-r;,671 It: 6'~ 41\!f..,
.....
- I
~
D/\f[ P~JNTED N/l.Mf ftfCElVED ar Ulu'.-1SJONAfURE/
/' DAU PRINIEll NM,'11:
I-'
0
0
I
0
0
00
00
llME
Wl llH · Offl(f I YELLOW - l.A8 I PINK· CLIENl
Sii&
I
-.]
00
(J1
I-'
(J1
NYC-WTC_000231265
OCR can misread numbers and units. Confirm readings against the page image before using them.