NYC-WTC_000223219

NYC 9/11 Public Portal Document

ui F’SC PSC Analytical Services 4418 Pottsville Pike PSC Work Order #

0. Reading, PA 19605 CHAIN OF CUSTODY phone; (610) 921-8833 Page i of I fax: (610) 921-9667 or 921-8407 PO# Quote * Name Report J®® I <3^ 1 - C>,^ k- 4, Results Mailing Address Meq Company •^cfQ oa rc I v<c____________ ANALYSIS REQUESTED Cfi CD To: Cily^^ State yv/ ZIP /co/o UsB attachments if necessary. cn I Telephone I J?. 2’^2- Please spoc'tfy method requirements. Preservatives Key; Name A = Ascorbic Acid tn I

o I Submit Company C = HCI N2 = NaS2O3 Mailing Address H = HN03 S =H2SO4 CO Invoice city State ZIP l = lce Z = ZnAcetate To; Telephone* Fax# h N = NaOH X = None Credit Card info (induds exp. dale) Sampled by; Sampling Location (Specify State):_______________ O = Other; Due Date: (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) "T' ’■ Full Data Package Reduced Deliverables Package Electronic Data Deliverables PnatvaOvea (Sm above Key:" Sat all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) TypaIP^PIas^ G^GIass, a'aIt)

SAMPLE DESCRIPTION Final Air Volumi Matrix Type Sampling Info Container Volume (Liter, etc) I (ID must match container labels) Dale Time Number of Contamers I f/la^ Lff~ 2 ^rrn/re 6-vrt u 3 peg 3 co 4 0. S

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S □ o 9 10 o \1 o I □ (1) Relinquished by: Dale Time (2) Received by: Date Time 1(3) Relinquished by. Dale Time o o C\J GJ (4) Received by: Dale Time (5) Relinquished by: Dale rime (6) Received al Lab , Dale Tir Time co 'i) n co o z Method of Delivery: UPS i-EX PAS Courier Client US Mail Other cn

NYC-WTC_000223219