NYC-WTC_000214348

NYC 9/11 Public Portal Document

F’SC PSC Analytical Services 4418 Pottsville Pike PSC Work Order #

Reading, PA 19605 CHAIN OF CUSTODY r t phone: (610) 921-8833 Page j. ot t c fax: (610) 921-9667 or 921-8407 r PO# Quote # SS5a5====BS=t--5-—-r—----------------------------------------------------- -------------------------------------

Report Name ( oV-W_______________________________ ‘JOBID: 4 Company <lxxvfc> T V C-_____________ C Results Mailing Address jo Q ■’ft a ANALYSIS REQUESTED To: City state zip /go/6 Use attachments if necessary Please specify method requirements. Preservatives Key: 1 , Name

Company A = Ascorbic Acid ? Submit C = HCI N2 - NaS2O3 Mailing Address H = HN03 S =H2SO4 Invoice City state ZIP l = lce Z = ZnAcetate To: Telephone# "rax# N = NaOH X = None

Sampled by: Credit Card Info (include exp. date)

Sampling Location (Specify State); -s \3 O = Other: Due Date: (Rush TAT requires Lab approval) -{}

Full Data Package REPORTING REQUIREMENTS (Circle all that apply) Reduced Deliverables Package Electronic Data Deliverables •t. Preservatives (See above Key; list all that apply)

UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P=Plastic, G-Class, A=Air)

SAMPLE DESCRIPTION Final Air Volume Sampling Info Container Volume (Liter, etc)

I (ID must match container labels) (L muMw) ■ Matrix Type Dale Time Number of Containers

6»Cvte<ovrf ~ 0

! ILf c 3 u h -t ATc -oty-- t/Xic u o 0 (I 0 H K 7 I to

I o S

lU o I o Dale 1 ime (?) Received Qy Date T me (3) Reliiiauished by. o {1) R«l.(»quished by: Date ; iinn NJ CO T) (JI (■)) Receive ft ny: Calo I ii'ie (5) Reiirquished by O.K" T me (6) Received .K I ab: Dale ■me

o ___ /74c^l u NJ CO Meltiod of Delivery: UPS FEDEX PAS Conner Client US Mail Other

NYC-WTC_000214348