NYC-WTC_000226969

NYC 9/11 Public Portal Document

PSC Analytical Services 3 tu 4418 Pottsville Pike . T Reading. PA 19605 phone: (610) 921-8833 CHAIN OF CUSTODY Page । of I a Ji

fax: (610) 921-9667 or 921-8407 □. ro PO# Quote tt 'JOB ID: oJLlfb o Report Name Company (VTC- tJ Results Mailing Address \0Q ANALYSIS REQUESTED -J 0) To: City /t/S.txJ State y ZIP Use attachments if necessary. Telephone# jy'j g 2 ^0 Please specify method requirements. Preservatives Key: Name T A = Ascorbic Acid tn n Submit Company C = HCI N2 - NaS2O3 Mailing Address Invoice city State ZIP 4 H = HNO3 I = Ice S =H2SO4 Z = ZnAcetale 33 □ 01 To: Telephone # Fax tt N = NaOH X = None u ft Credit Card Info (include exp. date) ! 0 Sampled by: Sampling Location (Specify State): O = oilier: 5 01 Due Date; . (Rush TAT requires Lab approval) *- REPORTING REQUIREMENTS (Circle all that apply) <>5 (n ft) Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; list all that apply) < UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P=Pla5tic. G=Glass. A=Air) o to % SAMPLE DESCRIPTION Final Air Volume Matrix Type Sampling info Container Volume (Liter, etc] w 2 e (ID must match container labels) (L .01 twin) Date Time Number of Containers 1 ATc.,cf2Jil. i'T-y, <X- iv At] f^tA—■ Le tn 2 □ 3 to ■ rd 4 to 5 tn cn 6 7 n! MI 8

3 LO 9 If) S n (1) Relinquished by: Date Time (2) Received by: Date Time (3) Relinquished by: Date Time o

r (4) Received by: Date Time (5) Relinquished by: Date Time (6) Received at Lab: . Time TJ J' m <0 Method of Delivery: UPS PAS Courier Client US'Mail Other o co o:

NYC-WTC_000226969