NYC-WTC_000189283

NYC 9/11 Public Portal Document

iF^^5CZ PSC Analytical Services 4418 Pottsville Pike PSC Work Order# 3 dJ 1 Reading PA 19605 CHAIN OF CUSTODY ro (D phone {610)921 8833 Page 1 of 1 fax (610)921 9667 or 921 8407 O ro PO# Quote fl o ( 'Ll ________ JOB ID 00 Report Name Company (V^<C o Cj<O<Tj-n L V G- Results Mailing Address (CLr gi 10 ANALYSIS REQUESTED -h dJ To Cdyzl/e^ State ZIP fOjfC Use attachments if necessary Telephone (J? 5-. 2^g> k. ff (J 7 Please specify method requirements Preservatives Key Name A = Ascorbic Acid Company C = HC1 N2 = NaS2O3 Submit Mailing Address H = HNO3 S =H2SO4 Invoice clb^ I To stale ZIP I = Ice Z = ZnAcetate Telephone # Fax (f N = NaOH X = None Credit Card Info (include exp dale) Sampled by Sampling Location (Specify Stale) O = other Due Dale (Rush TAT requires Lab approval) O REPORTING REQUIREMENTS (Circle all that apply) a. Full Data Package Reduced Deliverables Package Electronic Data Deliverables Presetvehves (See above Key list all that apply) UST NPDES MIPP RCRA Stormviiater DEP (PWS # ) Type (P Plastic G Glass A-Air)

UI SAMPLE DESCRIPTION Final Air Volumi Maln\ Type Sampling Info Container Volume (Liter etc)

(ID must match container label ) Dale Time Number of Containers I HSIIL /)V S tV to F Lxj________ E-'v UbEy 2 Arc - ZAO-- / CfU t H< i^l 1^^ 3 A-Tc- lac e 4/, (e It- ^(f) r ch (■abti^ 4

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o I (1) Relinquished by____ Dale Time (2) Received by Dale Time (3) Relinquished by Date Time o J//S o co (4) Received by Dale Time (5) Relinquished by Dale Time (6) Received at Lab Date Time o D UcxTyV co yi cn o Method of Delivery UPS FED EX PAS Courier Client US Mail Other

NYC-WTC_000189284