NYC-WTC_000226971

NYC 9/11 Public Portal Document

RSC PSC Analytical Services 4418 Pottsville Pike PSC Work Order # 2 . "J

Reading, PA 19605 CHAIN OF CUSTODY ru □ phone; (610) 921-8833 Page \ of ( a ru fax; (610) 921-9667 or 921-8407 a PO# Quote # CD

Report Name . A UA V\ JOB ID: a Q Company fVVc- Results Mailing Address [GLt g;jll C V V-C- 01 TL. S'/ Q TL ANALYSIS REQUESTED To: City yt/"y d? Sbte ZIP /COfO Use attachments if necessary. Telephone Please specify method requirements. Preservatives Key: "0 ID Name A = Ascorbic Acid n

1 Company C = HCI Submit N2 = NaSZO3 3 □ Mailing Address H = HNO3 S =HZSO4 Invoice City state ZIP l = lce 2 = ZnAcetale (U .u IX To: Telephone # Fax# (+

I N = NaOH X = None Credit Card Into (include exp. dale) □ Sampled by: jv Sampling Location (Specify State): O = Other; lb Due Date; ___ ________ _________ (Rush TAT requires Lab approval) tn REPORTING REQUIREMENTS (Circle all that apply) a ID T Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; rist all that apply) o UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P^PIastic, G=G{ass, A=Airj ID W

S SAMPLE DESCRIPTION Final Air Volume Matrix Type Siimpling Info Container Volume (Liter, etc)

(ID must match container labels) (L er -aiiii) Date Time Number of Containers tn 1 z4-4^cyo ?/// (6 2, 2 (hloSQ o tc 3 ro 4 tc tn 5 m -J Q 6

H 7 8 I—i s 9 o to o o I (1) Relinquished by: Time (2) Received by: Date Time (3) Relinquistiedby; . Date Time o o tD T//ji>yo^ TJ (4) Received by: Dale Time (5) Relinquished by: Dale Time (6) Received al Lab: Dale Time CO . ) -~L>[?xcrt?tr jIpIc/L y-rS" CD Oh CO Method of Delivery; UPS fS-EX J PAS Courier Client US Mail Other

NYC-WTC_000226971