NYC-WTC_000207685

NYC 9/11 Public Portal Document

cu RSC PSC Analytical Services 4418 Pottsville Pike 0. Reading, PA 19605 phone: (610) 921-8833 CHAIN OF CUSTODY Page ( of । fax: (610) 921-9667 or 921-8407 PO# Quote # \ (Xaamjxi CoVtVy____________ ID: Report Name Company trVC- j^fOCZoJtra Lv\.c. r- Results Mailing Address g (D /o^Ffext.- AMLYS/S REQUESTED CO CD To: City XorA state ZIP /r!‘a/'6 Use attachments if necessary. I Telephone * . ^53 . g 6 JU. 15^3 Please specify method requirements. Preservatives Key. W Name A = Ascorbic Acid tn

o I Submit Company 3TPit C = HCI N2 = NaS2O3 Mailing Address H = HNOa S =H2SO4 w Invoice ci^ o State ZIP 0 ! = lce Z = Zn Acetate To: Telephone # Fax# N = NaOH X=Wone Credit Card Info (include exp. date)

Sampled by:

Due Date.- Sampling Location (Specify State):__________________ . (Rush TAT requires lab approv^

REPORTING REQUIREMENTS (Circle all that apply) I 0 = Other:

Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key. list ell that apply} UST NPDES MIPP RCRA Stormwater DEP (PWS # } Type (T-Plastiz. G=Glass. A^Aiij

SAMPLE DESCRIPTION Final Air Volumt Matrix Type I Sampling info Container Volume (Liter, etc)

(ID must match container labels) (L tUh—Ki) Vats Time Number of Conlainera e 1 o8/jl7A^ ^C>t>

e 2 /^O Soo t/ J li □ P 3 coo UI 0. 4 J- V SE£ZZ__ 5 o 6 7 I I n to CD 8

is o 9 10 o OJ I O o (1) Relinquished by. Date Time (2| Received by: Date Time (3) Relinquished by: Date Time s° o CD (4) Received by: Date Time ;5} Relinquished by; Dale Time (6> Received at Lab: .K UI W 3 r-l _____________________________ L ________ Method of Delivery.; UPS FED-EX PAS Courier Client US Mail Othei

NYC-WTC_000207685