NYC-WTC_000208071

NYC 9/11 Public Portal Document

RSC PSC Analytical Services 4418 Pottsville Pike ( Reading, PA 19605 CHAIN OF CUSTODY phone; (610) 921-8833 Page i of i fax: (610) 921-966? or 921-8407 PO# Quote »

v\z—p >\ C Vv Vx JOB ID: Report Name Company /VTTL fc. pKC Results Mailing Address [ /oVU- '' ANALYSIS REQUESTED To: City zt/eo^ ZIP /'Oafc Use attachments if necessary. Telephone g 2^o } Ei 3 er i, Please specify method requirements. Preservatives Key: Name I A = Ascorbic Acid I

Submit Company C = HCI N2 = NaS2O3 Mailing Address y/r7^ H = HNO3 S =H2SO4 Invoice City State ZIP l = lce 2 = ZnAcetate To; Telephone # Fax#' N = NaOH X = None Credit Card Info (include exp. date)

Sampled by: Sampling Location {Specify State): *0 O = other: Due Date: (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply)

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 (P-Plastic, G=Glass, A=Air)

2 SAMPLE DESCRIPTION Final Air Volunif Matrix Type Sampling Info Container Volume (LXer. etc)

t (ID must match container labels) Date Time Number of Containers 1 /£>& A/ortH t

2 CJh ( 3 /£!><:> jLirA/6-< /kdt ( r 4 5 % t 1*5 Q H 6 2 ( t

I K 8 0 s 9 7 Q 10 I—i o o (1) Relinquished by: Date Time (2) Received by: Date Time (3) Relinquished by: I Dale Time o o T co (4) Received by: Dale Time (5) Relinquished by: Date Time o r

o PAS Courier Client US Mail Other / / Method of Delivery: UPS FED-EX CO

NYC-WTC_000208071