NYC-WTC 000130060
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
PageR
r of
Report
Results
To:
Submit
Invoice
To:
PRED
KurckhardE
Company
(04. E 251
Mailing Address (
xe AssociAles.
City N.Y
Telephone #l
N4FaK N
Name
Company
Mailing Address
City
SAME
State
Telephone #
Fax #
Credit Card Info (include exp. date)
ZIP 100/0
JOBID: 175 Cebar St.
ANALYSIS REQUESTED
Use attachments if necessary.
Please specity method requirements.
ZIP
Sampled by:
Due Date:
ExtcoxT
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
DEP (PWS#
SAMPLE DESCRIPTION Final Air Volume
Matrix Typc
(1D must match container labels)
46 октн)
035 - M
-W
Wipes
Sampling Info
Date
9/202
Time
30
+0 3N- M=
$25-
88
M -
Pcnor Edwa «e /2702
(4) Received by:
](2) Received by:
Time (5) Relinquished by:
Date
Time
[(3) Relinquished by:
Date
Time
(6) Received at Lab:
NYC 9/11
Public Portal Document
Preservatives Key:
A = Ascorbic Acid
C= HCI
H= HNO3
11= 1ce
N = NaOH
N2 = NaS203
S = H2S04
Z = ZnAcetate
x= None.
O = Other:
Preseretives (See abóve Key:
ist all that appy._.-
...
Type (P=Plastic, G=Glass, A=Air)
Container Volume (Liter, etc)
Number of Containers
Date
Time
19T7T00
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000130060Source: 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.