NYC-WTC_000196721

NYC 9/11 Public Portal Document

•e RStZ PSC Analytical Services 4418 Pottsville Pike PSC Work Order #

Q. Reading, PA 19605 phone: (610) 921-8833 CHAIN OF CUSTODY Page t of j fax: (610)921-9667 or 921-8407__________________ PO# Quote #

Report Name \AA-Xz» Sk lA_________________________________________________ JOB ID; Company cC. Tkc. .______________ T—— r- Results Mailing Address AT |Z) jLS' .1 Lv-kc/:— fo p/a-, < ANALYSIS REQUESTED CD CD To: Slate ZIP /£>o/0 Use attachments if necessary 0) I Please specify method requirements. Preservatives Key Name A = Ascorbic Acid OJ 0) Company I Submit K C = HCI N2 = NaS2O3 □ Mailing Address 0 H = HNO3 S =H2SO4 co Invoice City state ZIP I = Ice Z = ZnAcetate To: Telephone # Fait# N = NaOH X = None

I Credit Card Info (include exp date) Sampled by. Sampling Location (Specify Stale):__________________ 0 - Olher Due Date. U V (Rush TAT requires Lab approval)

REPORTING REQUIREMENTS (Circle all that apply)

Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives ("See above Key, Itsi all that apply) U5T NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P=Plastic, G=Glass, A=Air) It

S SAMPLE DESCRIPTION Final Air Volums Matrix Type Sampling Info Corjtainer Volume (Liter, etc)

(ID must matcli container l.abels) (L n»ii twin) Date Time Number of Containers 1 At2 - r 2 cf I u 3 47Tt ~ o I JI, n- / JZ.O O O UJ 4 & OO 0. 5 gO 'eth ff o5 6 k\- 6 . O 0. 7 A co 8 in I 9 □ SO 10 OJ o □ (1) Relinquished by Date Time (2) Received by Date Time (3) Relinquished by Date Time o I 0) o o t4) Received by. Date Time (5) Relinquished by Dale Time (6) RBeeived at Lab z-, .- , Da.’e Time o co o 0. 4x3^^ JO. (V M JO. cn Method of Delivery; UPS FED-EX PAS Courier Client US Mail Other OO

NYC-WTC_000196721