NYC-WTC_000202555

NYC 9/11 Public Portal Document

OJ RSC PSC Analytical 4418 Pottsville Pike PSC Work Order # Q. Reading, PA 19605 CHAIN OF CUSTODY (ZcfFCVloog) phone; (610) 921-8833 Page 7 ' of _4, fax: (610) 921-9667 or 921-8407 PO# Quote K

Report Name C'^Q \\ v\ JOB lb:;33113:2^^ Company TVyC- Tx c Results Mailing Address I ANALYSIS REQUESTED eS-? 4~~pL. To; Slale ZIP YPOA^ Use attachments if necessaiy. Telephone# / . 7^^ , Jtgo Please specify method requirements. Preservatives Key:; Name A - Ascorbic Acid w m I Submit Company 2;?C6 C = HCI N2 = NaS2O3 o Mailing Address H = HNO3 S = H2SO4 Invoice City Slate CD "ZIP 1-ice Z = ZnAcetatB To: Telephone# Fax# N = NaOH X = None Credit Card Info (include exp. dale) Sampled by: ,„ ,/Sampling Lpcatipn (Specify Siale): 7 YY Y u O,= 01her:^ Due Date: * (Rush TAT requires Lab approval) Q. REPORTING REQUIREMENTS (Circle all that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key, list all that apply)

} . 'v UST NPDES MIPP RCRA Stormwater DEP (PWS # A’ ) Type fPPfastiB. G=Glass, A=Air)

SAMPLE DESCRIPTION Final Air Volutin Matrix Type Sampling Info Container Volume (Liter, etc) (iD must match container labels) Date ;rirae Number Dl Containers :1 :: T /£>(? ■Ij y^ Y^ snr o :N CJ-. S JfTc- /£?rp t/fP fyi ; s 4 5' 6 7. s 8 9 UN I LJ c 3 I stn (1) Relinquished by: Date Time (2) Received by: Date Time 3) Relinquished by: Date Time

:a |4) Received by: Date Time (5) Relinquished by: Date Time (6) Ri t Date Time I o gy g Method of Delivery: UPS PAS Courier Client V US Mail other " i : co': CO:

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NYC-WTC_000202555