NYC-WTC_000208079

NYC 9/11 Public Portal Document

PSC Analytical Services 3 Cu 4418 Pottsville Pike PSC Work Order# 1

Reading, PA 19605 CHAIN OF CUSTODY z I D UI phone.(610)921-8833 fax; (610) 921-9667 or 921-8407 Page ZZH O ro po# Quote# o Report Name JOB ID: £9/2^ ^222- tu

Results Mailing Address__ ^rc. D Company TJ ANALYSIS REQUESTED To: Slate /\) y _______ZIP /'CQu / Use attachments if necessary. Telephone # 7/ 7. - A S" Please specify method requirements. Preservatives Key: Name A = Ascorbic Acid U3 n Company Submit C =HCI N2 = NaS2O3 33 Mailing Address H = HNO3 S =H?SO4 □ Invoice city stale ZIP tu I = Ice Z = ?n Acetate To: rblepliane # Fax# N = NaOH X = None u ft Credit Card Info (include exp. date) 0 Sampled by: Sampling Location (Specify State); /\J 0 = Ollier: tu Due Date: / (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) tn ID 3 Full Data Package Reduced Deliverables Package Electronic Data Dslivorables Preservatives (See above hey; C list ali that apply) 0 UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P=Plaslic, G=6lass, A=Alr) It w 2 W SAMPLE DESCRIPTION Final Air Voluiiu Matrix Type Sampling Ini'o Container Volume (Liter, etc)

(ID must matcli container labels) (L rnTTi) Dale Time Number ol Containers

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SO to o o (1) Relinquished by: ■ Date Time ime (3) Relinquished by: Date IhlllC I o o / / t/ N' (5)^elinquishe(l byyr ' co (■5) Received ijy. crate Time Dale Time (6) Received al Lab: Date Tune o m o Method of Delivery: UPS ED-E PAS Courier Client US Mail Other Ui

NYC-WTC_000208079