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NYC-WTC_000232440

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000232440–000232447
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Scanned page image, NYC-WTC_000232441
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NYC 9/11 Public Portal Document TAYLOR ENVIRONMENTAL GROUP, INC. 130 JERICHO TPKE., FLORAL PARK, NY 11001 £125 / e- y * 516-358-2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT: ey owns DATE TIME SAMPLE (S} /NO Nyc SCH HAMID S4WOF ay NAME [PRINT} pe : ——— © Hien Mc KEN CONTAINER(S) c63)/ NO PROJECT LOCATION: PROJECT # sTVYVEGONT US M y}t- ASIF perv MATRIX (CIRCLE ONE): PAINT SOIL OTHER SAMPLE INFORMATION: AREA |FI?) SURFACE MATERIAL LABORATORY # SAMPLE # LOCATION WOOD | METAL} BRICK | OTHER LAB RESULT eee 2.7/ £ _.-tooe Lis-39 | opm sf Pool BOT. a z 7.0 Reva 27/ (S — Tsp OF O LI-YO | samah 81 yosk x ad fevomM BT C -F oop | fevom 27/C~ Te & toom 27( D-Fleet Liw-&3 by ce” 4 LZ vA 4 Eoouu 37/D- L. Lu -4¥ of ‘Red Pl albaen x IV - |Room azvl E — fe EFF | Lite Flee | ra 26-¥ Room 9 7 — lh i Pyw RIVETS 7D? ole hOG- SET TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS , : Si¢ 25% - ae worm sar wy / / G He ‘Male : RELINQUISHED BY {SIGNATURE} DATES / ‘od PRINTED NAME RECEIVED BY (SIGNATURE) DATE PRINTED NAME C 7XU TIME ox20 heel yi Cant a. Cenere f: i 8/1 p/}. iy Ware TIME S RELINQUISHED BY [SIGNATURE] DATE PRINTED NAME RECEIVED BY ZAB (SIGNATURE) DATE £°/Z EZ) PRINTED NAME a TIME x. ot Vibe gly lt ae TIME C5920 Ke. RY Oz ¢ ay log G WHITE - OFFICE / YELLOW - LAB / PINK - CLIENT NYC-WTC_000232441

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NYC-WTC_000232441Source: NYC Law Department, mirrored locally

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