NYC-WTC_000130054
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PSC Analytical Services
4418 Pottsville Pike
Reading, PA 19605
phone: (610) 921-8833
fax: (610) 921-9667 or 921 -8407
Quote #
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Report
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CHAIN OF CUSTODY
PSC Work Order #
PPeocozoss®
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Results
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ANALYSIS REQUESTED
Use attachments if necessary.
Please specify method requirements.
CAE
Submit
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Invoice
State zip
To:
Fax #
edit Card Info (include exp. date)
Sampled by:
Sampling Location (Specify State):
Due Date:
Full Data Package
UST NPDES
Electronic Data Deliverables
RCRA Stormwater DEP (PWS# )
(Rush TAT requires Lab approval) g
PORTING REQUIREMENTS (Circle all that apply)
Reduced Deliverables Package
a7 ae a ar Ly amma or a ATT LT AT AP A IT SY CY?
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SAMPLE DESCRIPTION [Firat air Volum i type
match contamer labels)
Sampling Info
a ae Yaa aT 0 a a
eGedioy Date Time
A= Ascorbic Acid
C=HCI
H = HNO3
O = Other:
fist all that apply)
Preservatives Key:
N2 = NaS203
S =H2S04
l= Ice Z = ZnAcetate
ZN N = NaOH
X = None
ee OT 2 A OD EP
Preservatives (See above Key:
a a a a oan EO ED 2 2 ED OE
Type (P=Piastic, G=Glass, A=Air)
La PT PA PE PP DS
Container Volume (Liter, etc) ]
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Number of Containers
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Time
te Time ‘2 Received by:
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Date Time K Relinquished by: | : Date
(4) Received
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" Date _ime \° Relinquished by:
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Date Time 4 Received at Lab:
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NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000130054Source: 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.