NYC-WTC_000222464

NYC 9/11 Public Portal Document

CD F-SC PSC Analytical Services 4418 Pottsville Pike Z7 PSC Work Order # D. . Reading, PA 19605 CHAIN OF CUSTODY phone; (610) 921-8833 Page of fax; (610) 921-9667 or 921-8407 I PO # Quote # 1 Report ^^ZZZZZZZZ^aZZZZZZXSkZZZZZZZZZZZZZZZZZZ JOB ID: ri aTx, 3-vr C________ I— Results Company ________Ave. I CD CD Mailing Address \O L}.- J 0 T- ANALYSIS REQUESTED tn To: City X?ZX Slate ZIP ~~ Use alfaclmenls if necessary. I Telephone _ 7, P” ** Please specify method requirements. Preservatives Key; OJ Name tn A = Ascorbic Acid

o I Submit Company A C = HCI N2 = NaS2O3 Mailing Address H = HNO3 S =H2SO4 CD Invoice city Slate ZIP l = lce Z = ZnAcelale To: Telephone # Fox # N = NaOH X = None Credit Card Info (include exp.^daio) O = Olher: Due Dale; ' (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Full Date Package Reduced Deliverables Package Electronic Data Deliverables T PreaeM'^s'lSeB^l^o^KeT'' lisMIhet apply) UST NPDES MIPP RCRA Slomiwater DEP (PWS# ) 4 TypB;iP-PlaslIc. G=GlB5S,/A-:Mr)

SAMPLE DESCRIPTION Final Air Volume Matrix Type Sampling Info . / ContBirter Volume (Liler. etc) ' - . (ID must match container labels) (L ‘W ijirn) Dale ;• Number of Containers > I^±^5Zj^5ZZ^£ZZ v/ u 2 3 J^^^Z^SZZ^SZZ ./'2 c- V' 1/' w 0. 4 6^ I 5 i7" ' ------------- o 6 0. J H CD 7 in 8 I n I

S □ 9 I o o PJ □ 10 I t o I (t) Relinquished Time [2) Received by: Date Time (3) Relinquished by; Date Time o o (4) Received by: Time ;5) Relinquished by: Date Time (6) Received at Lab; , Dale Time I CO c i CO □ 4^ n Method of Delivery: UPS PAS Courier Client US Mail Other I

NYC-WTC_000222464