NYC-WTC_000218482

NYC 9/11 Public Portal Document

PSC Analytical Services 3 m T 4418 Pottsville Pike Reading, PA 19605 CHAIN OF CUSTODY Page / of / phone: (610) 921-8833 o re fax: (610) 921-9667 or 921-8407 PO* ' ~ T" " ' Quot?* o U) Name ClcAn JOB ID; Report Company ~ Tlf f ■ to Results Ma«ng Address m ' ANALYSIS REQUESTED To: Use attachments if necessary. Telephone # ^"2^ Fax # '^fPh Please specify method requirements. Preservatives Key: TJ 0} Name A - Ascorbic Add n Company Submit C = HCI N2 = NaS2O3 Maitina Address Invoice aiy H = HNO3 S =H2S04 2 ! To: Tetephone# State Fax# ZIP .§ l=lce Z = ZnAcetate t£ ft N = NaOH X = Nooe Credit Card Info (indude exp. date) f) Sampled by: Sampling Loeation (Speedy State): 0 = other; Due Date; / (Rush TAT requires Lab approval) Q tn REPORTING REQUIREMENTS (Circle all that apply) It

Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; * < list all that apply! n UST NPDES MtPP RCRA Stormwater DEP (PWS# ) Type (P^PIastic, G-^GIass, A-Airj It lA SAMPLE DESCRIPTION Final Air Volumt Matrix Type Sampling Info Container Volume (Lrler. etc)

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NYC-WTC_000218482