NYC-WTC_000223626

NYC 9/11 Public Portal Document

w RSO 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# Quota# Name *\ CaVw JOB ID: Report Company ATC^ d rTikJbo "!.vvt-■ > Results Mailing Address ANALYSIS REQUESTED co To; CP City Ya^K state Use attachments if necessary: CD reisphmslfjfji., 3^), 8X16 Please speafy method requirements. Preservatives Key.

W Name A = Ascorbic Add 0) Company o I Submit Mailing Address I C = HCI N2 = NaS2O3 ' H = HN03 S = H2SO4 U3 Invoice city State ZIP 1=lce Z = ZnAcetate To: Telephone H Fax# N = NaOH X = None Credit Card Into (include exp. dale) =sa=s=sssssE==s==s=====s====asssaaBBS3s: Sampled by: A Sampling Location (Specify State): 0 = Other: Due Date; (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Reduced Deliverables Package Electronic Data Deliverables ^servattves' (See above Ke^' Full Data Package !i^8llthelapp!yj_ UST NPDES MIPP RCRA Stormwater DEP (PWS# 3 (P=Flastic. C-Slass, A<=AIfl

SAMPLE DESCRIPTION Final Air Volunu Matrix Type Sampling Info Container Volume (Liter, etc) (ID must match container labels) (L *«--«) Date • Time Number of (i^ontainers St 2 Ai^ 3 2 U 2 /^tSo LT, » 4 OL o * 5 H 0 I G_ 1 s *• 8 o .. •-* ro 9 o to o' CM o O Dale Time (2) Received by: Date Time 11(3) Relinquished by: Date Time to (1) Relinquished by: '.C O (4) Received by: Date lime (5) Relinquished by: □ste Tima jp) Received at Lab; Dalu Time Ui '.C c □ n Method of Delivery: UPS FED-EX 'AS Courier Client US Mail Other

NYC-WTC_000223626