NYC-WTC_000232404

CITY_21MC100_010236420 NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 CLIENT NAME/ADDRESS SCA 1f. 2070/ LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CONTACT: SAMPLER ISIGNAIURE) DATE 7/27/02 TIME SAMPLEIS) SEALED CORRECT CONTAINER(S) 516-358-2955 Fax 516-358-1780 YES' 'NO PROJECT LOCATION: Stuyvesant H.S. SAMPLE INFORMATION: LABORATORY # SAMPLE# Hamid Savog PROJECT # +1477-15211/29881 SAMPLER NAME (PRINT) AL Kazaкaл MATRIX (CIRCLE ONE): YES NO TIPE PAINT SOIL OTHER AREA (FT2) SURFACE MATERIAL WOOD METAL BRICK OTHER LAB RESULT LOCATION 802A Rovem et W -∞1 Ceiling Unit (univent) Room d 807 w-02 Ceiling ulnit (univent/ Roome 817 w -03 Cedling Unit (Univent) Room & 333 south side ш-04 Lesk Univewt R00m$333 Soath side W-05 Right Umivent Room+325 South side 1-06 Ledt Univend (baek wall) 1200m# 329 Sauth gide w-07 Right dniveat (back wall) 4-08 F/B 1- Fax resolts po Taylon et (212) 406-2535 composit /34 Camaposit. 159 composit /59 / 31.7 30.5 35.5 38.3 → / X <9.0 13.8 <4,0 19.0 TURNAROUND REQUIRED: NORMAL O STAT O BY // RELINOUISHEO BYJSIGAATURET COMMENTS / INSTRUCTIONS 6hn ПА.Г. PRINTED NAME - RELINQUISHÉD BY (SIGNATURE) DATE 7/27/02/ TIME 1600 DATE TIME PRINTED NAME RECEIVED BY (SIGNATURE) DATE IABALEW PRINTED NAME RECEIVED BY LAB (SIGNATURE) L WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT TIME 9167? PRINTED NAME TIME 10:07) Haur TAT NYC-WTC_000232404