NYC-WTC_000196520

NYC 9/11 Public Portal Document

PSC Analytical Services kJ 4418 Pottsville Pike PSC Work Order# Reading, PA 19605 phone:(610) 921-8833 CHAIN OF CUSTODY Page 1 of fax: (610)921-9667 or 921-8407 _________ PO# __________ Quote # Name Report Company Results Mailing Address bETm. 'Ip'ff . ~ ~ JOB ID: /mi /bp "2 ' ANALYSIS REQUESTED To; City A/ez-0 VN-A state Uss attachments it necessary. Please specify method requirements. Pfeservalives Key; Name A = Ascorbic Acid

Submit Company Mailing Address I* J C = HC( H= HNO3 N2 = NaS2O3 S = H2SO4 Invoice City Slate ZIP i Ice iZ = ZnAcetate To; Telephone # Fax# N = NaOH X - None Credd Card Info (indude exp, date) Sampled by. Sampling Location (Specify state): /\/^ O = OlhBf. Due Date: 7 (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 # ) • yP- (P^Piastic, G=Glass, A=Air) % 5 SAMPLE DESCRIPTION Final Air Volume Matrix Type Sampling Info ContainerVcIume lUter, e(cj

g (ID must match container labels) (L oe min)’ Dale Number of Containers 1 IE-21>RM~ S / Ml 2 3 AhT&c>>n-23-}i^~ 5'3 /Y)5lo 4 Q 5 fiETE-C'^rl- ' <5 1/ H K 6 /T7E-'i>3T2.-2-^diy)- 5? ^/6 MW 4/- 'l 7 7 3/ 2- 8 EYI'E- 2-'Y>R^'e - 9 i; 'o J 10 o 3 co (1) Relinquished by: Time (2) Received by. Date Time (3) Relinquished by: Date Time o cn 3 J (4) Received by; " Dafe " Time (5) Relinquished by: Dale Time (6) Received al Lab: . Dale Time co co ) ................... .J_12E£iL 5 lido •^I7.-PY- ' ,pA3 Q.. Method of De!)

NYC-WTC_000196520