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Chain of Custody: DEP Cleanup Samples, September 19, 2002

Machine-extracted title · confidence 95%

Chain of custody document from PSC Analytical Services regarding the receipt and analysis of samples for the DEP cleanup project.

NYC-WTC_000130052–000130102
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Scanned page image, NYC-WTC_000130057
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NYC-WTC 000 130057 PSC 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 # ROLOTO55O Page PO# Report Name FRED BurcKhardT Results Company ATC AsSOciAleS Mailing Address 104 E. 25'h To: City 2 State Telephone # Name Submit Company Invoice Mailing Address City SAME State To: Telephone # Credit Card Info (include exp. date) N. Fax o ZIP 10010 JOBID: 125 CeUAR St. ANALYSIS REQUESTED Use attachments if necessary Please specify method requirements. ZIP Fax # Preservatives Key: A = Ascorbic Acid C = HCI H = HNO3 1 =Ice N = NaOH N2 = NaS203 S = H2S04 Z = ZnAcetate x= None. Sampled by: Due Date: Sampling Location (Specify State): (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverables UST NPDES MIPP RCRAStormwater DEP (PWS# SAMPLE DESCRIPTION Final Air Volume (ID must match contamer labcls) #Mhim Matrix Type R8N - M. W WipE Sampling Info Date 7/2/02 Time O = Other: Preservaines (Seé above Key: list all that apply) ... Type (P=Plastic, G=Glass, A=Air) Container Volume (Liter, etc) Number of Containers •75-M-W •7N-M-W 'any Edlwads (4) Received by: T(2) Received by: (5) Relinquished by: Date Date Time Time |(3) Relinquished by: (6) Received at Lab: Date Time 91902100 NYC 9/11 Public Portal Document

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NYC-WTC_000130057Source: NYC Law Department, mirrored locally

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NYC-WTC_000130104 · Box DEP Box 53

Chain of custody document from PSC Analytical Services regarding the receipt and analysis of samples for the DEP cleanup project.

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