NYC-WTC_000188349

NYC 9/11 Public Portal Document

RSC PSC Analytical Services 4418 Pottsville Pike PSCWork Order# ( £

Reading, PA 19605 phone; (610) 921-8833 CHAIN OF CUSTODY Page of ( { fax: (610) 921-9667 or 921-8407 r PO# Quote# c £ Report Name JOB ID; t Company Results MatUng Address __ Ar< __ ANALYSIS REQUESTED I t To: City AJ V Slate /\/^ ZIP Use attachments if necessary. Telephone* Please specify method requirements. PreservaBves Key: Name A = Ascorbic Acid t Submit Company ■1 c = Ha N2=NaS2O3 f

Mailing Address H = HNO3 S = H2SO4 Invoice city State ZIP t = lce Z « ZnAcetate To: Telephone * FwV N = NaOH X = None Credit Cant Into (include exp. date)

Sampled by: t ^<4 Sampling Location (Specify State): /\f 0 = Olhar:

I Due Date:

Full Data Package REPORTING REQUIREMENTS (Circle all that apply) Reduced Defiverables Package (Rush TAT requires Lab approval)

Electronic Data Deliverables 4 ProMi^nes' (See aSo« Key; * bi at that apply) UST NPDE8 MIPP RCRA Stormwater DEP (PWS# ) Type (P’-PtasbcTo’^Gb^^i^'

s SAMPLE DESCRIPTION Final Air Volunw MatnxTypc Sampling Info Cen^nKVrAnmfUter.etc) (ID must miuch conumcr labels) (L mill) Date Time Number of Containers

* 1 -A *. / 7^ A? 0 2 c 2 0 r 4 I 5 (J

o ' 0 6 0 H 7 K I 8 M !

I o o 9 10

I (1) Relinquished by: Time IkZ) Received by: Dale Time lk3) Relinquished by: Date Time O I o Time (5) Relinquished by: Dale Time j|(6) Received at lab: T o (4) Received by: 0 o cn Method of Delivery: UPS FED-EX PAS Courier Client US Mail Other

NYC-WTC_000188349