NYC-WTC 000
130082
Report
Results
To:
Submit
Invoice
PSC Analytical Services
4418 Pottsville Pike
Reading, PA 19605
phone: (610) 921-8833
fax: (610) 921-9667 or 921-8407
PO#
Quote*
Name
Ers lril
З.ller
Company
Ássciné íni.
Mailng Address iC.4 E. 25rh s/reet
icik t%r
Cily deur Ye.x
ZIP /0010
Telephone # ili SSi. üüLe
Fax # 2/2.35s 236€
Name
Company
SAME
Malling Audiess
CHAIN OF CUSTODY
PSC Work Order #
RO210047
Page
5-or
JOBID: 152é9ci
•ccicé
ANALYSIS REQUESTED
Use attachments if necessary.
Please specify method requirements.
Preservatives Key: •
A = Ascorbic Acid
C = HCI
H = HNO3
State
ZIP
Fax#
Credit Card Info (include exp. dale)
Hi.2!
N= NaOH
N2 = NaS203
S = H2S04
Z = ZnAcetate
X = None
Sampled by:
Due Date:
Full Data Package
Sampling Location (Specify State):
(Rush TAT requires Lab approval)
REPORTING REQUIREMENTS (Circle all that apply)
Reduced Deliverables Package
Electronic Data Deliverables
O = Other:
UST
NPDES
MIPP
RCRA
Stormwater
DEP (PWS#
SAMPLE DESCRIPTION
Final Air Volumd
Sampling Info
)mustmalch contamer lbels)
SloLÓNT
Matnx Type
Datc
Time
175. H9 - H
iliiis4
1Wnsi i0104/62
:7> - 49- F
•r'-+i - и
IN-Hy-H
174-44-*
"GaS. Hi-H
• Es Hy: #
• FN...H9 - W
.6N -it9-H
(1) Relinquislied Dy:
(•1) Received by:
k'agdi:
10lc//cc
Time
Time
2) Received by:
5) Relinquisied by:
Preservalives TSee above Key:
list all that apply)
Type (P=Plastic, G=Glass, A=Air)
Container Volume (Liter, etc)
Number of Containers
Dale
Time
(3) Relinquished by:
Date
Time
Date
Dale
Time
veif=473:2
Method of Delivery:
UPS
FED-EX
PAS Courier
Client
US Mail
Other
NYC 9/11
Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000130082Source: 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.