NYC-WTC_000234623

NYC 9/11 Public Portal Document

Pg- L ofJ Taylor environmental group, inc. PLM Sampling Data & Chain of Custody Record INSPECTOR: CLIENT: CONTACT; DATE SUBMITTED:

DATE SAMPLED! > SITE ADDRESS: FAX NUMBER: DATE LOGGED:

PROJECT NO. I PROJECT MANAGER: / TURNAROUND REQUIRED:

NORMAL □ STAtQ BY / / w G to LAB// SAMPLE# DESC.IPTION: results. G M O _____________ H

=zi=±=z H gH / O G ^>3 ___________ M'S V O H M O O H O H S 3 S o3 O M o ?o s TT* a H M H ?0 > S ' o S CoS to CM ro O H

i O CO Relin. By: (Signature) Date: Time: Received by: (Signature) Date: Time; O ! H I H K I Relinquish^d By: (Signature) Time: Date: Time:

I o o Comments: rj6 s NONE DETECTED

Io o co TAYLOR ENVIRONMENTAL GROUP. INCFLORAL PARK CORPORATE CENTER -IIO JERICHO TPKE.. FLORAL PARK. NY 11001 • PHONE (516) 358-2955 • FAX (516) 358-1780

(JI co CT O

NYC-WTC_000234623