NYC-WTC 000130055
PSC Analytical Services
4418 Pottsville Pike
Reading, PA 19605
phone: (610) 921-8833
fax: (610) 921-9667 or 921-8407
Quote #
CHAIN OF CUSTODY
PSC Work Order #
R02010550
Page 2_
of
Report
Results
To:
Company
Submit
Invoice
To:
Cily Nº1
Teleohone #
Name
Company
Mailing Address
City
ZIP
10010
JOBID: 125 CeDAR StReet.
ANALYSIS REQUESTED
Use attachments if necessary
Please specity method requirements.
SAME
State
ZIP
Credit Card Info (include exp. date)
Sampled by:
Due Date:
Sampling Location (Specify State):
(Rush TAT requires Lab approval) &
REPORTING REQUIREMENTS (Circle all that apply)
Reduced Deliverables Package
Electronic Data Deliverables
Full Data Package
UST
NPDES
MIPP RCRA Stormwater
SAMPLE DESCRIPTION
(ID musi malch container labels)
•/2N-M - W
ШxI9
DEP
(PWS#
Final Air Volume
Matrix Typc
Inlijes
Sampling Info
Time
9/12/02
19//3 - M=
OION-M-
8
RaepausedEy lwadls
(4) Received by:
(2) Received by:
(5) Relinguished by:
Date
Date
Time
Time
N:_-
MC AAAil
(3) Relinquished by:
6) Received at Lab:
Nthar
Date
Time
9.07021050
NYC 9/11
Public Portal Document
Preservatives Key:
A = Ascorbic Acid
C= HCI
H = HNO3
1= Ice
N = NaOH
N2 = NaS203
S = H2SO4
Z = ZnAcetate
X = None
O = Other:
Preservatives (Sée above Key:
list all that apply)
..
Type (P=Plastic, G=Glass, A=Air)
.. . .
Container Volume (Liter, etc)
....
Number of Containers
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000130055Source: 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.