NYC-WTC_000197615

NYC 9/11 Public Portal Document

31 PSC Analytical Services -n T 4418 Pottsville Pike PSC Work Order #

Reading, PA 19605 phone;(610) 921-8833 CHAIN OF CUSTODY Page / of / o rd fax: (610) 921-9667 or 921-8407 □ po# Quote If u Report Name JOB ID: /W ^=2 7 6 -J Company TJ I Results Mailing Address To; ___ ZYii:___ ANALYSIS REQUESTED /Y V [Telephone# State ALY P^X # J 11.- Use attachments if necessary. Please specify method requirements. Preservatives Key; T) tn Name A = Ascorbic Acid n Company 'C = HCI Submit Ca Ip = HNO3 N2 = NaS2O3 Mailing Address S =H2SO4 Invoice City state ZIP •si I = Ice Z = ZnAcelate To; Telephone # Fa?# ’ N = NaOH X = None [Credit Card Info (include exp. date) [sampled by. Sampling Location (Specify Slate): /NN (0 = Other: [Due Date: ! / Y (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) J Electronic Data Deliverables Preservative^(See above Key: Full Data Package Reduced Deliverables Package list atf that apply) UST NPDES MIPP RCRA Stormwater OEP (PWS# ) Type (P=Plastic, G^GIass, A=Air) % s SAMPLE DESCRIPTION Final Air Voluma Matrix Type Sampling Info , Container Volume (Liter, etc) I (ID must match container labels) (L tw-rtinr) Dale Time Number of Containers m 1 /Ms □ 2 I

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NYC-WTC_000197615