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NYC-WTC_000188347

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000188347–000188348
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NYC 9/11 Public Portal Document @ | . PSC Analytical Services a Rn 4418 Pottsville Pike PSC Work Order # DO ceetreensmmeeeensastpnnemnmsmnnnanaas i reading. PA 19805 = CHAIN OF CUSTODY |___*2oso4ay phone: (610) 921-8833 Page _|_ of ] fax: (610) 921-9687 or 921-8407 me PO# Quote # Report (ime Nomen Coen sopio: [A\95. 09490 t Results Company Te. (ot. Tre __ to Mailing Address, 10 Le (6% JI9 7 trek 07 ferer ANALYSIS REQUESTED o To: City A 2 ) Morr State AN? ZIP oof Oo Use attachments if necessary. x Telephone #.9)9. 253. RIB Fax# 772.353. 320 C Please specify method requirements. Preservatives Key: % Name L A = Ascorbic Acid 0 Submit pervert € Ma 2 C = HCI N2 = NaS203 a) . ing Address H=HNO3 S =H2S04 Invoice City Stale zip A 1=lee Z = ZnAcelate To: Tetephone # Fax # ir N=NaOH X = None Credit Card Info {include exp. date) 2 Sampled by: WLI a Sampling Location (Specify State): < O = Other: Due Date: (Rush TAT requires Lab approval) | « REPORTING REQUIREMENTS (Circle all that apply) & Lt ; _ J Pa or a AO OF er en ee oP ee on 4 oe oe Pee Pd eed Cm aa! Full Data Package Reduced Deliverables Package Electronic Data Deliverables r ppm T— i — ore Sorvstivas (See above Key; A 5 DEP PWS # dead dod _ ‘heme teal chest diesel dee ed Le aaa amar fp er Jp ar ist all that apply) ma @ me ot war a UST NPDES MIPP RCR tormwater ( ) I Type (P=Piastic, G=Glass, A=Air) : OE EO SF a PW Fa 9 fee er 9 en ae et a YF come Sp ana A IT OC a ET A PL PO A OE 5) SAMPLE DESCRIPTION [Final Air Volumg Type Sampling Info i i f | _|Container Volume (Liter, ete Saceelh teenth ell heed el hel eel eel ef ohn ede Ld Gk hd ad ed hand E (ID must match container labels) (L vrctrritt) Date f Time r r i Number of Containers AC - 0670 - M824 - Wal yl co | AR Hef os h4 hes Hain Lobby 2 o 3 a 4 5 H a : Kw 2 7 YO 8 a= OG S wv 10 on (1) Relinquished by: VES Date Time f Received by: Date Time — ]{(3) Relinquished by: Date Time aw NW Of “ S (4) Received by: Date Time — |X5) Relinquished by: Date Time }{(6) Received at Lab: Date rs a* Method of Delivery: UPS ED-EX ) PAS Courier Client US Mail Other NYC-WTC_000188347

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NYC-WTC_000188347Source: NYC Law Department, mirrored locally

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