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NYC-WTC_000189280

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000189280–000189281
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Scanned page image, NYC-WTC_000189281
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

« uiyticai oei vices ■i 3 Al 4418 Pottsville Pike PSC Work Order# T

Reading PA 19605 CHAIN OF CUSTODY S', ro ui phone (610) 921 8833 Page Z of I Q fax (610)921 9667 or 921 8407 ro PO# Quote #

Report Company Name Z C Arp S Ui'k', JOB ID 191? S a

tn Results Mailing Address'' ANALYSIS REQUESTED CD Al

To City /|/(?(.v State /W Use attachmenls if necessary Telephone#

Name n L: Please specify method requirements Preservatives Key

A - Ascorbic Acid "0 CO n Submit Company C-HCI N2 - NaSZO3 Mailing Address Invoice City A7 '/ C 37 ZIP H = HN03 S = H2SO4 33 □ Al State 1 = Ice Z = ZnAcetale To Telephone # Fax# N NaOH X - None (£ c+ Credil Card Info (include exp dale) 0 Sampled by /(]) Sampling Location (Specify Stale) /Y Uf 0 - Other £11 Due Date / (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) (0 It Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key T d list all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS # 0 ) Type (P Plastic G Glass A Air) (B tn s SAMPLE DESCRIPTION Final Air Voluiiii Malm Type Sampling Info Container Volume (Liter etc)

t (ID mubl malcli container hbcl ) (T Ujr in 111)- Dale Tune Number of Contain rs

I ZEEZ tn

fTTC-c / fy Aaab <7y /eLi^ ? □ 3 1/ 4 ygcf ZW IZ L/ tfl S m cn 6 o 7 S |-» 7 s o ID o o (1) Relinquished by Time (2) Received t>v Dale Time (3) Relinquished by ,Dat Odle Tune I I o o co (4) Rpceivpri bv 'USi Time (5) Relinquished b Dale Time (6) Received al Lab Date Time TJ o co J ■pr-Ytv- 00 uo PAS Courier co Method of Delivery UPS FED Client US Mail Olhcr (JI

NYC-WTC_000189281

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NYC-WTC_000189281Source: NYC Law Department, mirrored locally

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