NYC-WTC_000214350

NYC 9/11 Public Portal Document

RSC PSC Analytical Services 4418 Pottsville Pike PSC Work Order,# ./

Reading, PA 19605 CHAIN OF CUSTODY phone; (610)921-8833 Page ) of । fax; (610) 921-9667 or 921-8407 PO# Quote# Name \ojuv<x-.^ f Q> Vi v\ JOB ID: Report Company 0 oGcctC. I'^ c. ■ Results Mailing Address \ O(j/ — I O TL. ANALYSIS REQUESTED To; City State ✓t/p' ZIP foaf o Use attachments if necessary. Tetephone#^!^, g57. Please specify method requirements. Preservatives Key: Name A = Ascorbic Acid

Submit Company o C = HCI N2 = NaS2O3 Mailing Address Invoice City ZIP c H = HNO3 S =H2SO4

To: Telephone# State Fax # F5 l = lce N = NaOH 2 = ZnAcetate X = None Credit Card Info (include exp. date) Sampled by. Sampling Location (Specify Stale):_______________ 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 all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P=PtastK. G=Glass, A-Air) ae SAMPLE DESCRIPTION Final Air Voliinn Sampling Info Container Volume (Liter, etef 2 Matrix Type LU (ID must match container labels) (L ersatS) Date Time Number of Containers 1 /J.r9O 2 I ■^ed> o _______ t (3 1-^ I 4 a > Al ^1. /ya f\^^5 ( o ( H 6 ( H l"^ to S s O 10 J o I Date o (1) Relinquished by Date 1 ime (2) RHceivHd t»v Time (3) Relinquished by; Dale line o to co Dale 1 irne |5t Kolinqjishec try Dale I line (5) Received at l ab i Date . ime Cn (4) Received by co o _ _______________ i r Method of Delivery: UPS FED-E^D Courier Client US Mail Other

NYC-WTC_000214350