NYC-WTC_000189372

NYC 9/11 Public Portal Document

R5C~ PSC Analytical Services 4418 Pottsville Pike PSC Work Order# Reading, PA 19605 phone: (610) 921-8833 CHAIN OF CUSTODY Page \ of i fax; (610) 921-9667 or 921-8407 PO# Quote #

Report Name Co V w JOB ID; /^/;x 5- qo Company Results MailingAddressiQUS_^t?lL^5t>-«±:£^ /OTk ANALYSIS REQUESTED To: City yo zA State ,/V'/' ZIP Use attachments if necessary. Telephone # I . ^^3 , Y SL c Please specify method requirements. Preservatives Key: Name A = Ascorbic Acid Company C = HCI N2 = NaS2O3 Submit 0 Mailing Address H = HNO3 S = H2SO4 Invoice Q City state ZIP I = Ice Z = Zn Acetate To: Telephone # Fax# t3 N = NaOH X = None Credit Card Info (include exp. date)

Sampled by: ' A J: Sampling Location (Specify State):___________________ O = Other:

Due Date: (Rush TAT requires Lab approval) $ REPORTING REQUIREMENTS (Circle ail that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; list all that apply} UST NPOES MIPP RCRA Stormwater DEP (PWS# ) Type (P=Plasiic, G=Gtass, A^fiar}

s SAMPLE DESCRIPTION Final Air Volume Matrix Type Sampling Info Contairier Volume {Liter, etc};

(ID must match container labels) (L Ojrmiwl Date Time ' ft fJutnber of Containers

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3 /J, £? o o ZAZA

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CO 03 Method of Delivery; UPS ED-E' PAS Courier Client US Mail other

NYC-WTC_000189373