NYC-WTC_000202554

NYC 9/11 Public Portal Document

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GJ RSC PSG Analytical 4418 Pottsville Pike: Q. Reading, PA 19605 CHAIN OF CUSTODY phone: (610) 921-8833 Page t of

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Report Name Company IS JOB 'D; AtTC tkrnctoTl. T wc Results Mailing Address ) O Q- G S' tk f ipTE p | o cy.

I ANALYSIS REQUESTED To: Cky /l/eeAJ YoY^ Use atlachmanis if necessary. Please specify melhod requirements. PreservabveS Key:

M Name L A * Ascorbic Acid < tn Company 2 I Submit C = HGI : N2 = NaS2O3 f □ Mailing Address H = HNO3 S =H2SO4 CC Invoice City r Slate ZIP -M I = Ice / Z.= Zn Acetate To: Telephone # Fax# N = NaOH X = None Credit Card Info (include exp. date) i Sampled by: Sampling Location (Specify State); O = other: Du§Date;^ (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverablss Preservalivss (See above KeY list all that apply) / UST NPDES MIPP RCRA Stormwater DEP (PWS # sc:: Ac ./TP type (P=Plastic, G~Glass, A=Air)

I SAMPLE DESCRIPTION ! - (IP must match container labels) Final Air Volunit (L wminj Matrix Type Sampling Info

Pste Time Coatainar Volume (Liter, etc)

Number of Containers

hfi £vd:. 2 3

£ 4 5 0 0. 7 n m 8 •» A □ 9 111

I' N O (1) Relinquished by: Date Time (2) Received by: Date Time 11(3) Relinquished by: Date Time

I § s ' (4) Received by: ■ ' ' ■ : : ■ ' ' ' . : : : ■ I /: Dale Time (5.) Relinquished by: Date TTate Time

Method of Delivery: . UPS ED-EX C ; PAS Courier Client: Other s

NYC-WTC_000202554