NYC-WTC_000218476

NYC 9/11 Public Portal Document

04 RSC PSC Analytical Services 4418 Pottsville Pike PSC Work Order#

Q.' Reacfing, PA 19605 CHAIN OF CUSTODY pborte; (610) 921-8833 Page fax: (610) 921-9667 or 921-8407 PO» Quota*

Report (ia V w _____ JOB ID: I41A?- c-ATFf /^yc, jjC oCXote iKC, Resulte Company ______ ANALYSIS REQUESTED To: Q» sate 29 icoiCi Use attachments if neces^ry. Please ^iocay method reqvvemeins. Presep/alives Key; Name A = Ascorbic Acrf Company c = Ha Submit N2 = NaS2O3

I MaJkig Address Invoice GXy To: Telephone K state ZIP H=HNO3 f = loe S =H7SO4 Z = ZcAcela'e Fax# M = NaOH X = None CretH Can) Into (lodutte exp. dale) te. 2w Sampled by: *^^2^ /,, y Samping Localion (Specify State): _______ O = other; Due Date; (Rush TAT requires Lab approval) Ci REPORTING REQUIREMENTS (Circle all Ihal apply) s ^setv^iKs' (S^j^o'^Key' Fun Data Package Reduced OeSverablss Package Electronic Data Deliverables

UST NPDES MiPP RCRA Stormwater OEP (PWS# 1 type fP=Pbsfiei S=Glass. A^)

SAMPLE DESCRIPTION Rnil Ait Volww Matrix Type Sampling info Ctm^^rVolwiie iLier. eK) ■

a I (ID must match container labels) (L -at. .mill) . Dale Time NurrjberolContsinars ; I ATc-^'226-2z^ni — fr)f 1-4 2 3 /Tr('-C226-2Zfff7) >- /?% \y 4 - /f7iM V V 5 V 6 Q H 7 r to (—1

S O I ro 8 9 10 CM o a f1> f^qirished by: .Dale Time 11(2) Received by: Dale Time (3) Relinquished by: Dale Time I o o CM o I (4) Received by: Time 11(5) Relinqulstied by; Dale Time (0) Received al Lab: D^e Time CO I CO m Method of Delivery: UPS -E PAS Courier Client US Mail Other CO

NYC-WTC_000218476