NYC-WTC_000211378

NYC 9/11 Public Portal Document

RSC PSC Analytical Services 4418 Pottsville Pike „ PSC Work Order# P-0 /(5f7 3 T-) Reading, PA 19605 CHAIN OF CUSTODY phone;(610) 921-8833 Page l of J. fax. (610) 921-9667 or 921-8407 PO« Quote »

Report Nams Ov^aaa \\ w _ ______ JOB ID: 19 IZ5 A~v<- Company Results Maiing Address -VvuL ANALYSIS REQUESTED To: City ^4: State (3_________ Use attachments if necessary. Telephone #0 i/. 75'3 g;o^ Please specify method requirements. Preservatives Key: Name A = Ascorbic Acid Submit Company C = HCI N2 = NaS2O3 Mailing Address H = HNO3 S = H2SO4 Invoice city Slate ZIP l = lce Z = ZnAcetale To: i Telephone # Fax# N = NaOH X = None Credit Card Info (include exp. dale)

Sampled by; Sampling Location (Specify State): O = Other; Due Date: (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) f,

Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; * list aH that apply) UST NPDES MiPP RCRA Stormwater DEP (PWS# ) Type (P==Plastic, G=Glass. A-Ajr)

s SAMPLE DESCRIPTION Final Air Volunn Matrix. Type Sampling Info Container Volume (Liter, etc)

(ID must match container labels) Date Time Number of Containers 1 S«lK~e> \ a/r- 2 3 4

5 o 6

I 3 7 ro 8 I 9

is 10

Time (2) Received by: Dale Time

I (1) Relinquished (3) Reiinquished by; Date Time

(4) Received by; Dale Time (5) Relinquished by; Date Time Time

Method of Delivery: UPS FED-EX PAS Courier Client US Mail <C 7 NYC-WTC_000211378