NYC-WTC_000223161

NYC 9/11 Public Portal Document

w RSC PSC Analytical Services 4418 Pottsville Pike /"O PSP Work Order # Q. Reading, PA 19605 CHAIN OF CUSTODY piiOiie (610) 321-8833 Page I of I fax: (610) 921-9667 or 921-8407____________________ PO# Quote #

Report Name ID: P\\5<--QJ7 Company Results Mailing Address ANALYSIS REQUESTED to \o Q I o “yu^ »•' co tn To: state 4/ N./ ZIP AOO/D Use attachments if necessary. I Telephone#^! . ?Z8o Please specify method requirements. Preservatives Key; CM Name A = Ascorbic Acid tn I co Submit Company C = HCI N2 = NaS2O3 Mailing Address ’K H-HN03 S =H2SO4 CO Invoice City State ZIP tr l = lce ;Z = ZnAcetaie To: Telephone# Fax# .u N = NaOH X = None Credit Card Info (include exp. date) $ Sampled by: Sampling Location (Specify Stale): 0 = Other:

Due Date; (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) 0 ^sei^^s (See above Key: ' Full Data Package Reduced Deliverables Package Electronic Data Deliverables list aU that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P-Plastic, G=Glass. A=Air) * §H SAMPLE DESCRIPTION Final Air Voliimi Sampling Info Container Volume (Liter, etc) Matrix Type (ID must match container labels) (L Date Time Number of Containers

1 ^1 o 6 Op /jT/ A/y // ftfr'e/e^ q SJ. /O 1^ O e (S/'^ ________ 3 Ado i^ o 4 /O G ^ao *M

5 £l^ 48d o 6 So go3 li> H n 4rc - g -o/yjfH- sy B I L, "7 i, b retry JczvOlT- K o I to in 8 /fTE- 0^/6- AS BA<^ 7 tS Pt K.

I o GJ 9 Ifl o I O Dale o (1) Relinquished Dale Time (2) Received by; Time (3) Relinquished by; Dale Time o to co co OJ Dale Time (5) Relinquished by: Dale Time (6) Received al Lab: Date Time (4) Received by: co wo co L 0. L J Y..:, ■/-li-Oc, cn X Method of Delivery: UPS ^ED^EX ^AS Courier Client US Mail Other

NYC-WTC_000223161