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NYC-WTC_000232435

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000232435–000232439
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Scanned page image, NYC-WTC_000232437
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NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 OZO21 364 516-358-2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT: SAMPLER.[S|GNATYREL= DATE TIME SAMPLE{S} Wa Cz Lee — Eiiéfac. SEALED Ey / NO S C A LL Gore fi Se, vat SAMPLER NAME (PRINT} CORRECT / (A ee a CONTAINER(S} UP /NO PROJECT LOCATION: PROJECT # MATRIX (CIRCLE ONE]: Kace ) PAINT SOIL OTHER Stuy vesan’ KS JI GIT 05-217 83] SAMPLE INFORMATION: 2 SURFACE MATERIAL ; LABORATORY # SAMPLE # LOCATION eM) WOOD | METAL | BRICK |OTHER LAB RESULT eg Foon 3ST AP 9 Fine CYS LW ho Crews | 2B | LAC Oo wy tw &\ | Fes 357 Floste | fh [ Renara\ Creenx cm ha | Foon B57 Tet OF \ Aulens payin | iS 53 C tw & boom 357 Heo K u = nt! S0ttt\ sib? | Berweed Widows \ =_ ck naa =I 4 > whl finy an — 8 & OQ H Y K TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS NO ern Cae : te normal} star OQ ay / oh ye VA Y io) = RELINQUISHED BY [SIGNATURE] pate Sige] PRINTED NAME RECEIVED_BY [SIGNATURE] DATE PRINTED_NAME - TIME 123 AL. [L026 be? at4 IM / > = CAVE o - RELINQUISHED BY (SIGNATURE) DATE PRINTED NAME RECEIVED BY LAB [SIGNATURE] DATE’ PRINTED NAME , No Ww o TIME TIME Ce i WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT NYC-WTC_000232437

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NYC-WTC_000232437Source: NYC Law Department, mirrored locally

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