NYC-WTC_000196509

NYC 9/11 Public Portal Document

PSC Analytical Services z• 4418 Pottsville Pike Reading, PA 19605 phone: (610) 921-8833 CHAIN OF CUSTODY £p;s3""22. Page ( of / *7

fax: (610)921-9667 or 921-8407 □ w po# Quote# a

Report Company Name

/TTC YcEtr) AySYT-tfiry^ y.fi c~ JOB ID: /7Z2U2^522. U) ro Results Mailing Address ANALYSIS REQUESTED □ TI To: City AlEfU y^-n-lb Stale ^Vy ZIP A(Yl>f Ly Use attachments ifnecessaty. ^etephone# Please specify method requirements. Preservatives Key: Name T A = Ascorbic Acid tn n zOz Company Submit C= HCI N2 = NaS2O3 Mailing Address H = HNO3 S -H2SO4 Invoice city □ To: Telephone “ Slate Fax# ZIP § -A I = Ice Z = ZnAcetate Al N = NaOH X = None t£ Credit Card Info (include exp. date) c. O

I Sampled by: /bl/cl Sampling Location (Specify Slate): f\/^________ O = Olher: QI (7 Due Date: 7 (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) tn (B Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; list all that apply) C UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P=PlastK, G^GIass, A=Air) 0 (B Rt SAMPLE DESCRIPTION Final Air Voliimt Sampling Info Container Volume (Liter, etc) Ifl

I (ID must match container' labels) (L or mtn) Matrix Type Date Time Number of Containers 0 I \Y7>cT~ 6 <77 V tn 0 2 .EUly Q 0 3 to nj J> 4 A-'TY- V6>C fcv MiZ to 5 1/ tn tn a 6 -J H K I to 8 s O 9 o 10 o I o (1) Relinquished by; . Dale Time (2) Received by. Dale Time (3) Reti^ished by: Date Time o co o (4) Received by. ' 'Date Time (5) Relinquished by: Date Time ) cn (6) no

tn ro Method of Delivery: UPS ffd'-e' PAS Courier Client US Mail 0thV

NYC-WTC_000196509