NYC-WTC 000130061
PScR
ANALYTICAL
SERVICES
1418 Pottsville Pike
phone: (610) 921-8833
Reading, PA 19605
fax: (610) 921-9667
PO #
Quote #
Report
Results
To:
Fred Burkhandt
4e Assiciates
Mailing Address
City
104 Esst 2sth Street
Nv
Telephone#
ZIP /WIU
COMMON MATRIX TYPES
. Badge (OVM/Passive Monitor)
: Tube (specify type: charcoal, silica, XAD, eic)
i. Train (filter + tube, 2 tubes in series, etc)
• Filter/Cassette (specify PVC, MCE, GFF, etc.)
• Impinger Solutions (specify components)
6. Wipe (specify type)
7. Tedlar Bag
8.Summa Can
9. PUF/Resin/XAD
10. Other (list details):
#
WG
LL
SAMPLE DESCRIPTION
MATRIX
(see above
list)
(o)i
(2)=el
(ID must match container labels)
aN-M-W
MEDIA
(list catalog
number)
wipe
FINAL AIR
YOLUME
(soecify: Liters.
minutes, etc)
11x19 cm
+
AIR SAMPLING
Stmpke
CHAIN OF ČUSTODY
PSC Work Order #
Ro2090550
Page £ of 8
Name
Submit
Invoice
To:
Company
Mailing Address
City
Telephone #
SAME
State
Fax #
ZIP
Credit Card Info (include exp. date)
Job/Project Name:
Sampler's Name(s):
Sampling Location (Specity State):
Due Date (Rush results requires Lab approval):
REPORTING REQUIREMENTS (Circle all that apply):
Full Data Package
Reduced Deliverables Pkg
Electronic Data Deliverables
SAMPLE
DATE
9/12/22
SAMPLE
TIMES
Start
Stop
FLOW RATES
(specify units:
Initial Final
Average
ANALYSIS REQUESTED
Use anrachments if necessary.
Please specify method requirements.
Meseuiy
1) Ranguano Em. Sallemi
3) Relinquished by:
Vethod of Deliverv:
UPS
Date
Time
Time
(2) Received by:
(4) Received by:
(FÉD-EX
PSC Courier
Client
IS Mail
Date
Time
P90027058
Other
NYC 9/11
Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000130061Source: NYC Law Department, mirrored locally
Lab report forwarding mercury background wipe test results from PSC Analytical Services for a building located at 125, collected and analyzed in October 2002.