NYC-WTC_000223906

NYC 9/11 Public Portal Document

PSC PSC Analytical Services 4418 Pottsville Pike PSCWork Order# 0 0

Reading, PA 19605 phone: (610) 921-8833 CHAIN OF CUSTODY Page i of 1 t

c fax: (610)921-9667 or 921-8407 r PO# Quote » c c Report Name „ CpVlvl______ JOB ID: 9 c Company A-Vc- MtoCi tijL, Twc- c Results Mailing Address Yotp ANALYSIS REQUESTED Q J TL ? L oTV To: a»y /aa/o Use attachments if necessary.

Telephone tt^yj 3^3. *^3^ Please specify method requirements. Preservatives Key; Name A = Ascorbic Acid 0 r Company ________ C = HCI Submit 0 N2 = NaS2O3 Mailing Address H = HNO3 S =H2SO4 Invoice City Slate ZIP 0 I = Ice Z = ZnAcetate To; Telephone It Fair# N = NaOH X = None Credit Card Info (include exp. date) Sampled by:

Due Date:

Full Data Package Sampling Location (Specify State): ____________________ _________ (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Reduced Deliverables Package Electronic Data Deliverables I O = Other:

Preservatives (See above Key; " list alHhat apply) UST NPDES WIPP RCRA Stormwater DEP (PWS# ) Type (P-Plaslic, G=Glass, A=Air) r.

s SAMPLE DESCRIPTION Final Air Volunif Matrix Type Sampling Info Container Volume (Liter, etc)

h (ID must match container labels) (L aq:iiuliiQ Date Time Number of Containers b t> 0 I 4 rc—o4‘'?<y t £ /J f~ i( i_ c I 3 ... /J fl a r\ 4 fJEO o 5 A f^ Sft^ ci / 0 Q 6 a H 7 8 S Q 2 10 o o I (1) Relinquished by; Dale Time (2) Received by; Date Time (3) Relinquished by: Date Time o O I M i TJ (4) Received by: Date Time (5) Relinquished by: Date Time (6) Received al Lab: Date Time to o /Z<^ Method of Delivery: UPS FED-EX PAS Courier Client US Mail Other

NYC-WTC_000223906