NYC-WTC_000223613

NYC 9/11 Public Portal Document

F’SCZ PSC Analytical Serv ces 4418 Pottsville Pike ’SC Work Order # 3 T

Reading, PA 19605 CHAIN OF CUSTODY -I phone:(610) 921-8833 Page i Of c n fax: (610) 921-S667 or 921-8407__________________ c PO# Quote 8 a

Report Name JO3 ID: oJ Company Xvc Results Maiiinfl Address ,$3^ tO"^ 4;^'^ ANALYSIS REQUESTED To: State yV y ZIP ZiZPO / lb Uss sliaUimenis ilnecessay. « ?S'?- ■ g~?oC Please specify meihod requirements Prsse’^otivcE Key: Name c A = Ascorbic AcM 01 3 Submit Company________ C = HCI N2 = MaS2O3 Q Mailing Address H = HNO3 S =h2SO4 U» Invoice City To; Telephone# Credit Card Info (include e>p. date) State Fax# ZIP 4 I l = lce N = NaOH Z = ZnAceiaie X = Nans L dJ O X

Sampted by: Due Date: Sampling Location (Specify State): (Rush TAT rsquires Lab approval) b O = Oltier: 3

REPORTING REQUIREMENTS {Circle al that apply) Full Data Package Recuced DeliverablesPackage Electronic Data Deliverables Preserv^ives (See aSoi« Key; ‘ list all Ojate^pfy) U3T NPDES MIPP RCRA Stormviater DEP (PWS# ) Tife (P^PlasHc. S^aiass. A=Air)

SAMPLE DESCRIPTION Firal Air Valcini Matrix Type Sampling Infc Caitainer Votume (LRer. etc) UI (ID mail iiutcii container labels) ;L nr wim) Dale Tiir-e r- Number o! Containers ! 1<^O~ atZ <y///o2- XoO ( plaig) cr

O 6 - iSofA ATcz^o^Ql - - (5’0 f-<- f

i o M cf^ ______ C CP -b (T CC tr

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o 111 o I o (1) Rel.nqu,3bedby^ . Date Time (2) Received by: Dato Time 3) Retinqusshed by: Da'e Time o to <o (4) Received hy; Dale Tims (5) RjlinquisTicd by: Dale Time (S) Receded al Lab: Dale Time I—i <o <J 'SjH^Urc- U

o re <o Method of Delivery: UPS FED-EX PAS Courier Client US Mail Other

NYC-WTC_000223613