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NYC-WTC_000232425

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000232425–000232432
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Scanned page image, NYC-WTC_000232425
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NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 1100! O2021I0730 516-358-2955 Fax 516-359-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CUENT NAME/ADDRESS CONTACT: SAMPLER {SIGNATURE] DATE TIME SAMPLE|S) COB: (bales Lay, $-G-02 SEALED 3/7 NO ; . VOT SAMPLER NAME (PRINT 7 CORRECT C, NYC SCA: HAHLO SF ARK ear CONTAINER{S) Aes NO PROJECT LOCATION: PROJECT # _— . oo MATRIX (CIRCLE ONE)(~ wipe ) PAINT SOIL OTHER SToyvesauT AS: MY77-/5 21 29 6 SAMPLE INFORMATION: AREA (FT2} SURFACE MATERIAL LAB RESULT je eo LABORATORY # SAMPLE # LOCATION WOOD] METAL} BRICK | OTHER c Pool tt gol cL - i>. Lw-o| Flgon by Wid: L¥T Tale €-O ~. . ‘Cc ai Llu -02 Rouw # Ol Desk bh, trance 4 tT X <10-0 in tn Zoo tt $02. c sor : . Ul = bw - 03 GBD Faon 4, Eutunere. LET ole [- fan £5 t= 7 — , Poon # e022 Trble by; ~ zs x =k BAG eo hw -O4 Evin ance L FT cn On Roo # KOLA \ wn poe 1w - os Floot ac center, 4 ET tile Roond SO2A tTatle by \ Li - 06 Wivcows. Let X Poco sf ¥OZ& Lhw- v7 Flock At cevTer 1 FT The Cook vOZ B : Lw- 0% |raewe by wondow Let | x [| © is TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS iS norma stat py / / L 7 RELINQUISHED BY |SIGNATURE} DATEY-G-©2 | PRINTED NAME RECEI IGNATURE| DAIS ¢/v QL PRINTED NAME s Ah Os _— y Cs |. CO. iL A bel TIME [7S & : Avy TIME Cy— o RELINQUISHED BY (S)GNATURE] DATE PRINTED NAME RECEWWED BY LAB [SIGNATURE] DATE PRINTED NAME ae / S TIME TIME ~] Ww CO NYC-WTC_000232425 WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT

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NYC-WTC_000232425Source: NYC Law Department, mirrored locally

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