NYC-WTC_000228314

NYC 9/11 Public Portal Document

iASCZ PSC Analytical Services 4418 Pottsville Pike - PSCWtwkOrder# 3) Tl T

Reading. PA 19605 CHAIN OF CUSTODY Page J of ~ o Phone:(610)921-8833 □ fex: (610) 921-9667 or 021-8407 ro PO# ■ Y ■ ; r Quota* - J _-u JOB ID: s Report o Company u Results Malins Address ANALYSIS REQUESTED TJ

I To: cay /V^ TeiBphong# State ^Sfl> /yv^ F«* 6 Use Bttac/imonts if necessary. Please specify method requirements. Preservatives Key: Name A A = Ascorbic Add Company $ Submit C = HCI N2 = NaS2O3 Maling Address H = HNO3 S =H2SO4 Invoice ch7 stale ZIP l = lce Z = ZnAcelate To: TeM*h«*« Fax# N = NaOH X = None Credit Card Info (indude exp. dale)

i Sampled by: 'T'^IZ.Vvi Sampling Location (Specify State): /V^ 0 = Other Due Date: f~^ (Rush TAT requires Lab approval) I REPORTING REQUIREMENTS (Circle all that apply) FuH Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; SstallBtat^tpl^ UST NPDES MIPP RGRA Stormwater DEP (PWS# ) Tyf>e ff^Ptatbe. O-Gleas. A~Aif)

SAMPLE DESCRIPTION Final Air Volunu Matrix Type Sampling Info Container Volume (Lier, etc) I (ID must match container labels) (L eMMBt" Dale 45//rimc Number of Containers 2» V 2» 3* /AD u Pf^ ^eii ^1 4f /AD iz 5# / ~ o H 6 K 'mI 7 8 Q 9 o o 10 I o Dale Time (3) ReHnquished by; SSBikg^, o (1) Relinquished by_ Dale. Tiine B(2) Received by; CO (4) Received by: Time (5) Relinquished by: Date lime (6) Received al Lab: Dale Ume • tn ! i Method of Delivery: UPS ^D;EX- PAS Courier Client US Mail Other

NYC-WTC_000228314