NYC-WTC_000231034

NYC 9/11 Public Portal Document

j" ··- ) r---.: I" "· -··~

I I ' l

fAYlOTl ENVIRONMENTAL GJ?Ol!r, INC . JlQ JERICHO ll'ff. FLORAL PARi( NY I 100 I l0393 s 16-)511-2'!55 F;i ~ 516-358 - 1780

LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMEN T CllENT NAME/ADD.~ESS CONTACT: MU w. •t Sl'IMPlfjl) @wo ! S~l\LW

CORRECf r ---·----- -- - - - - - ----+-- - - -- - -- - - CONf~.INERj ~). @1rvo PROJ EC T LOCAll ON, PNOIECT l Mf\TRJX (CIRCLE O'\JE) : ~ om ER ~-\- ..... ~ve:;,c;..,J t>'l'i77 - IS'ZJ 7/2'j BB I PAINT S()j l

SAMPlE INFORMATION: _____· -- - - - - -- - H ,5 _,_ AREA fFT'f SURFACE MATERIAL ,tt.'f//1; LAnORAfORY II S.AMPLE A' LOCATIO N UKJO[l ,,iIT"1. BRIC~ OT Hf~ LA~ R~SUl.T I ~ rlo>o-Jll v.>o c,.;c/~J v_; .,,,,_,r1 l\ ~v - 0 I ,,1,- /'t I x ? '1. 0 I ?l"'u-/"-"" - - --- - /l1't::>-fi l,S'O Md'.! t.l,...../v,,,..,r/ j --- 1~ w-o·l. 64.,..,. ~t:P'C"'. t I -- - - f 6 Ll/ - 0 3. ,,¢/' .~ - - ------ ·---·- - · · · ···--------- ~oo-.., ~Dt l),,1e:_'1 11_;.,.;.,.,,t ~ .... ., ~ rA \ x i l ~ t -- -- -- · -~ · , - ·- - ·- - -- - - -- ------ ---~

!) tU-e>L1 F J f2.:. "' " ----··- - ---- - - - -- - -- - - ·· - - -----·· - --

l -~----

... l~W'-0~ . 1= l 13 '- '-.V \ .. -- --· ,_ ~ ~.

--- - · iI I ! ! - ---- --· · · - ,__.._ ···---· - - - !' l TLIRNAROl.IND RE OUIRW: COMMrnr s / IN ~ TRI JC TIONl I n H H Ii-< N R€~151 NATURE)

~//' __,, ____ ol.r< 'j/~ 1/11; TIME PRINTED NAME

,}J, 1!~ ~l;f"li>P NORJML0 w.rO RECEIVED D» l~IGN -'\TURf.j D! I I -~ -- · - ·-- OATf

1111 [ @k PRINiEO NAME 'Y~CT I i ! - f--' 3: n litLlN'1iHW O\i,l11c->NATURE) -~ . i . DATE?} (".(_o", ~ f•RINTfD N.-.ME RfCENEDj.')' 1.1\fl [)IG~JATUREJ 'J -~ °W)J /1_ PRINTED MM-IE li r (\'LO f--' 0 0 - . ll ME

WHlrE - OffJCE I YEl.LOW • U\ B I PINK ·CLIENT rnAE (0: (.,., J ,. 1 j I 0 0 ro ro --.] ro m N

""'

NYC-WTC_000231374