NYC-WTC_000208049

NYC 9/11 Public Portal Document

HI PSC Analytical Services 4418 Pottsville Pike ■■■“ Reading, PA 19605 CHAIN OF CUSTODY phone; (610)921-8833 P39® I of fax: (610) 921-9667 or 921-8407 PO# Quote #

Report Name JOB '0: f Results Mailing AddressArc Company AsToacctL, ANALYSIS REQUESTED To; City state /tr'/ ZIP USB attachments if necessary. Please specify method requirements. Preservatives Key; Name A = Ascorbic Acid I Company I Submit 0 C = HCI N2 = N3S2O3 Mailing Address H = HN03 S = H2SO4 ) Invoice City Stale ZIP I = Ice Z = ZnAcelate J To: Telephone * Credit Card Info (include exp. date) Fax# N = NaOH X = None i s«===fe5==s==ssa^ffl===a==s==Ba==sss==B=B==sass=x:iE= Sampled by: Sampling Location (Specify Stale):_______________ O = Other; Due bate” (Rush TAT requires Lab approval)

REPORTING REQUIREMENTS (Circle all that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; Bst alt that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P^PIaslic, G-GIbss, A-Air)

§ SAMPLE DESCRIPTION Final Air Volumf Matrix Type Sampling Info Contalnar Vi^ume (Liter, etc) (ID must match container labels) (L oi—mw) K Date Time Number of Containers 1/ I 1 afK ZZ/?4»- 2 Arc // 0 o 3 O J w 4 »•> 0- . 5 / « 6 Arc- oil3 - ^Qpv-M sr o 7 ^5" 8 Cn t\0 •• 9 S3 10

oU (t) Relinquished by. Date Time (2) Received by: Dale Time (3) Relinquished by: Date Time

coM (4) Received by; 'T/ Date Time (5) Relinquished by: Date Time T Dale Time__ o •"“C Method of Delivery: UPS FEDEX PAS Courier Client US Mail Other o

NYC-WTC_000208049