NYC-WTC_000197628

NYC 9/11 Public Portal Document

RSC PSC Analytical Services 4418 Pottsville Pike PSC Work Order# £ t

Reading, PA 19605 CHAIN OF CUSTODY 1^02040 3/ t t phone:(610) 921-8833 Page I , of fc C ____________fax: (610) 921-9667 or 921-8407 r PO # Quote # t t Xqu/a. n >> C > UK Keport Name JOB ID: t Company C T t Results Mailing Address — 1 ANALYSIS REQUESTED To; State /^x ZIP Use attachments if necessary. Telephone eSr Pte^e specify method requirements. Preservatives Key: Name t A = Ascorbic Acid t Submit Company C = HCI N2 = NaS2O3 Mailing Address Invoice city State ZIP i H = HNO3 S = H2SO4 l = lce Z = ZnAcetate To: Telephone ft Fax# N = NaOH X = None Credit Card Info (include exp. date)

Sampled by: Sampling Location (Specify State): 5 O = Other;

I Due Date:

Full Data Package ___________________________ (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Reduced Deliverables Package Electronic Data Deliverables i Preservatives (See above Key: * list all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P=PlastK, G=Glass, A=Air) It S SAMPLE DESCRIPTION Final Air Volums Matrix Type Sampling Info Container Volume (Liter, etc) fc (ID must match container labels) (I- mitt) Date Tiine Number of Containers 1 7 4Tc. ZUK C

c 3 4Tc^~ -iTY- 9 6 c> _ t r 4 4f-ic. - d u ^fry - V t c Q 6 c 1 H 8 L l-» 9 s o 10 o o (1) Relinquished by: Dale Time (2) Received by: Date Time (3) Relinquished by: Date Time I o o 1 co (4) Received by: Dale Time (5) Relinquished by; Dale Time (6) Received at Lab: Date o Time J ■ ty/^CdlrY' C Oh Oh O Method of Delivery: UPS FED-EX > PAS Courier Client US Mail Other Oh

NYC-WTC_000197628