NYC-WTC_000226973

NYC 9/11 Public Portal Document

■ I PSC Analytical Service^: 5 ; 4418 Pottsville Pike- PSC Work Order#

“ - Reading, PA 19605 CHAIN OF CUSTODY Page.. / of ; phone: (610)921-8833 V fax: (610) 921^9667 dr 921-8407 PO #; - Quote# -

Report Name TTSt/vjf’j ' ■ - JOB ID: Company Results. Mailing Address . '^■ANALYSIS REQUESTED To;" City- state, ■ /\JV’ z ZIP Use attachments if necessary. ■' Telephone # 7 f Please specify method requirements. Preservatives Key: Name<. ‘ A = Ascorbic Acid

Submit' Company Mailing Address Invoice City , - ' 'a C = HCI H = HNO3 N2 = NaS2O3 S =H2SO4

i ./State - ZIP I = Ice Z = ZnAcetate To: . Telephone# - Fax# N = NaOH X = None Credit Card Info (include exp. date) Sampled by: Due Date: =

Full Data Package f /■ : Sampling Location (Specify State):’

;Z.repoRTING REQUIREMENTS (Circle.all that apply) •’ Reduced Deliverables Package ■ . (Rush TAT requires Lab approval)

Electronic Data Deliverables i O = Other:

"" 'pmseryativef (See above Key: ' iisieji that apply) ' ' ■; ■ ■ ■ ■ )

UST NPDES MIPP . RCRA Stormwater DEP (PWS # '■ type (P=Plastic, G=i3lasS: A=Air) .

S SAMPLE DESCRIPTION Filial Air Volume Matrix Type Sampling Info Conraitier Volume iUter. etc) • (ID must match container labels) (L-ef-rmn). Date - Time i •.. >• ?■ Number of Containers 1 A 7:&-ono - S ry _ 4;^ f 2 3 4 .5 o -. 6

S':. 'mI 7 8 9 .10 z . lo­ i (1) Relinquished by:^ ■ - Time (2) Received by: Date Time (3) Relinquished by: Date Time

(4) Received by: T” ” cate. ' ■ Time (5LRelinquished by:. Date, . Time (6) Received at Lab: • Date Time

S ' Method of Delivery: UPS /FED. PAS^Courier ' Client .. . US Mail • ; ;; j. Other../

NYC-WTC_000226973