NYC-WTC_000223205

NYC 9/11 Public Portal Document

CM RSC PSC Analytical Services 4418 Pottsville Pike PSC Work Order# Cl ReaeSng, PA 19605 CHAIN OF CUSTODY l^^O^(gU>*5 phone; (610) 921-8833 Page ) of fax; (610) 921-9667 or 921-8407 POt OtMted

Report Name So-Vov<.* QpUvk ox^4 Company Results Maiina AddressATfc- [ati JLi5& J IV<*Ur- lo Tlv ANALYSIS REQUESTED To; Ci»y4Z»<x State ZIP yaef/i? Use atiecbmenis d necessary. yetefitmnea^j g2^o Please specify method requasmenis. Preservatives Key; Name A = Ascorbic Acid

I Submit Company MaSng Address Invoice __ f

stale ZIP 0 C = HC1 H = HN03 l=lce N2 = NaS2O3 S =H2SO4 Z = ZnAcetate CM 0) To: Telephotw* Fait# N=NaOH X= Hone (9 Credit Card Info (include exp. date) 5 Sampled by; *7c^23ef Sampiina Lxication (Specify State);________________ 5o 0 = Other; □ue Date: (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) O I—< Reduced Deliverables Package Electronic Data Deliverables Pieseryatives' (See atiove Key; Fun Data Package

UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type(P=Ptoshc. 6^G^A-Ab) '

s SAMPLE DESCRIPTION Final Air Votanu Matrix Typ^ Sampling Info Cot^eiaerVafume ^ter, eK^ ' Q. al (ID must match contatner labels) (L » Wie) Date Time Number of Containers 1> ^er 5 ATc.^ T 2. Up r~ iLtL- .X I 4 • 4rc-/TY- _£££_ 7" /ifA^ It 6

8

B o (M 9 111 1=8 oCM o I (1) Rehctjuished by Oate Time (2) Receiver) by: Date Time 11(3) Relinquished by: Date Time ro COM co I (4) Receiver) by; Date Time (5) Relinquished by Date Time l{6) Received Time :£Ln /grVtv^.. ID co Method of Delivery: UPS D-EX PAS Courier Client US Mail Other

NYC-WTC_000223205