NYC-WTC_000228315

NYC 9/11 Public Portal Document

PSC Analytical Services 4418 Pottsville Pike PSC Woifc Order# Q Reading, PA 19605 phone; (610921-8833 CHAIN OF CUSTODY I Page { of ( U a w fax: (610)021-9067 or 921-8^7 Q PO# <>««*•* Cd ssasi

Report Name JOB ID: Cd M Company fcrc- ^juoC^clU; TI Results MsangfisMess/a 4^ ANALYSIS REQUESTED To: City State Use altactmwts if necassary. Tetophone*^/^, XZKfl Please specify mothad requirenienis. Fiesenrattves Key. Cj Name A = Ascorbic Acid e 3 Submit Company c = KCl N2 = NaS2O3 « lA Malang Adtfnm H = I-KO3 S = H2SO4 Invoice c^; State ZIP l = lce Z = ZnAcelate To: Telephone# CredtCard Info (include «tp. dale) Fax* 4 .M = NeOH X = N(n9 O X

Sampled by; A Sampino Location (Specify Stele): O = Othw; 3

Due Date: ‘ (Rush TAT requires Lab approval)

Full Data Package REPORTIMG REQUIREMENTS (Cfda all that appV) Reduced Deliverables Padcage Eledronic Da:a Deliverables s X Preaarvatives (See above Kez ' SstaflUwtspp^ UST NPDES MIPP RCRA Stormwater DEP (PWS# ) TypefP^lastic, G’‘G/»ss,>i=^

i SAMPLE DESCRIPTION (ID Bust maici concainer labels} Final Air VoEuni (LecnMia) MatrixType Dale Samplng Info Time Containtr Voltme (Lier, etc) NtMberof Corioiters a\'r m 2 tz O Cd /JLO ___t.a. cn 4 4y^--o?jyg'- o Cd tn 5 14^5 /? -J u Q 6 H K 7 I 8 So 9 o o I Date Time (2) Received by: o (1) Relinquished by; <y-— Date TirriB (3i Relinquished by; Date Tiirve o C\o TJ co (4) Received by; Date Time (5) Relinquished b,' Date Time I6i Received al Lab: Date Time ru U YkabTr- y/^/o^l Fvs" Method of Delivery: UPS ED-EX PAS Courier Client US Mail Other

NYC-WTC_000228315