NYC-WTC_000223203

NYC 9/11 Public Portal Document

Analytical t>ervices 4418 Pottsville Pike PSC Work Order # Reading, PA 19605 phone; (610) 921-8833 CHAIN OF CUSTODY ______ Page | of __ l fax; (610) 921-9667 or 921-8407 PO# Quote# ==s=ss=ss=s

Report JOB ID: /q| Company AtC- CCcUZs Results Mailing Address .C ~ ANALYSIS REQUESTED To: City State ZIP Use attachments if necessary. leiept^ea /L? 1^ .8?* Please specify method requirements. Preservatives Key; Name A = Ascorbic Acid Company Submit C = HCI N2 = NaS2O3 Mailing Address H = HNO3 S =H2SO4 Invoice city State ZIP I = Ice Z = ZnAcetate To: Telephone # Fax # N = NaOH X = None Credit Card Info (include exp. date)

I Sampled by; A 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: Sst at that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P=Plastlc, G=G/8ss. A=Air)

5 SAMPLE DESCRIPTION Final Air Volunu Matrix Type Sampling Info 'MIIV PtaM Container Volume (LMer, etc) t (ID must match container labels) (L omm) Date Time Number of Containers I I ^T/- Al I 77^ I 2 Az- t/ /4a4— I 3 ST/~ 1^3 > 4 Arc - 44 5 b 6 o 7 H g r 9 10 R (1) Relinquished by Date Time (2) Received by: Date Time (3) Relinquished by; Date Time o I o o (4) Received by: Date Time (5) Relinquished by: Date Time CO CO

Method of Delivery: UPS ED-EX PAS Courier Client US Mail Other co c.

NYC-WTC_000223203