NYC-WTC_000194870

NYC 9/11 Public Portal Document

r^C PSC Analytical Services 4418 Pottsville Pike PSC Work Order # 1 t

Reading, PA 19605 CHAIN OF CUSTODY • f [

phone; (610) 921-8833 Page 1 of [ I I fax: (610) 921-9667 or 921-8407______________ PO# Quote # r Report Name Nftx/vv-g«4 OtiVyw_______ JOB ID: ^9 Company t ATc -MToCv'cZL. Twe 1 Results Mailing Address [fiQ /a ANALYSIS REQUESTED To; Slate /Vy Use attachments if necessary. Telephone . 2 LH o Please specify method requirements. Preservatives Key: t Name A = Ascorbic Acid t Submit Company C = HCI N2 = NaS2O3 Mailing Address H = HNO3 S =H2SO4 Invoice City <0 State ZIP l = lce Z = ZnAcetate To; Telephone # Fa?# N = NaOH X = None Credit Card Into (include exp. dale)

Sampled by: Sampling Location (Specify State):_____________ 'C O = Other; Due Date: (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key: list all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P=Plastic, Q=Glass, A-Air)

SAMPLE DESCRIPTION Final Air Vo I uni ( Matrix Type Sampling Info Container Volume (Liter, etc)

(ID must match container labels) (L itu>nTTi) Dale Time Number of Containers e I a/’y ?2/zZZ ^-Y’6 rt pl 0

c <0 1 - ‘^S'P>6-/ypTl- / ^0° 7b OP' Lg^lo-cj I / o 0 fC' 3 160 o h 1O 4 47^- <^^06 - foA.^________ yrc ~ 0^06 - /TpM- 3 6 /pCiA k a 0 o 6 0

H 7 1"^ to s I—i S 9 O in o o I (1) Relinquished by: Date Time (2) Received by: Date Time (3) Relinquished by: Date Time o o Tt (4) Received by: Dale Tims (5) Relinquished by: Date Time Time I—i cn ///^ a CO <0 Method of Delivery: UPS ED-EX PAS Courier Client US Mail Other to

NYC-WTC_000194870