NYC-WTC_000223198

NYC 9/11 Public Portal Document

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

Reading, PA 19605 phone: (610) 921-8833 CHAIN OF CUSTODY |goZoMfi3/ 1 Page - l of > 1 fax: (610) 921-9667 or 921-8407 PO# Quote* ( ( Report Name AGbwv<« j> C a w*\__________ JOB ID: / t Company t A-TC- f fTL X Results Maaing Address f1V^— ANALYSIS REQUESTED T

To: Pity Slate TIP /anY o Use attachments if necessary. Telephone9 ^\JI, . g 2,2a * <sp Please specify method requirements. Preservatives Key: t Name A = Ascorbic Acid t

Submit Company 5^ 2 C = HCI N2 = NaS2O3 Mailing Address Invoice city State ZIP I H = HNO3 l = lce S =H2SO4 Z = ZnAcelate To: Tetephone # Fat# N = NaOH X = None Credit Card Info {include exp. date)

Sampled by; Sampling Location (Specify State); 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 anapply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P^PIaslic, G^GIass. A=Air/

5 uj SAMPLE DESCRIPTION Final Air Volumi Matrix Type Sampling Info Container Volume (Liter, etc)

t (ID must match container labels) (I, A* H'Ib) Date Time

zsz Number of Containers 1 dfY */ c c 2 4Tc - t 3 6 c> r I 4 -STY / ► J L 5 t o c 6 H 7 8 s Q 9 o 10 o I o (1) Relinquished by; Dale Time (2) Received by: Dale Time (3) Relinquished by □ale Time o to co Dale Time (5) Relinqiji5iif ‘ri by Dale Time (6) Received al I ab. co (4) Received by I Dale T line c cn Method of Delivery: UPS FeD-EX^ pas Courier Client US Mail Other

NYC-WTC_000223198