NYC-WTC_000228414

NYC 9/11 Public Portal Document

Hill PSC Analytical Services H TJ 4418 Pottsville Pike _ PSC Work Order # T Reading, PA 19605 CHAIN OF CUSTODY 26 3 a at phone; (610) 921-8833 Page ' of ( fax: (610) 921-9667 or 921-8407 a IM PO # Quote » saStaases*"^T!L'i"'i!! TiUL'i,,,,.^., :^gane—»gBss:=s==giad-" . I—'juwji—ifi Z3=s==i' -i—■--.. .......... jw,-! ,.. IM Report loathe_______ t jOVvx ___________________________ _ JOB ID; o^q 4 -h JteVC. Results Malling Address fQQ _________ _ ANALYSIS REQUESTED IS TJ To; cay ztZgasu yp f k State ZtP /Qj/O Use atlachmonts ^necessary Telephonegy3. &^5o 0 /4. 35 3 ■ 2S 6 G Please specify method requirements. Preservatives Key: T3 Name A = Ascorbic Add tn Company ,V n Submit -i: C = HCI N2 = NaS2C3 trialing Address H = 1INO3 S = H23O4 Invoice cii^ State ZIP l = lce Z = ZnAcelate To: Telephone tt Fax U <3- N = NaOH X = None Credit Card tn to (include exp. date)

Sampled by: Sampling Location (Specify Stale): A O = other: Due Date; (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) I Full Data Package Reduced Deliverables Package Electronic Data Deliverables preservatives (See abot^e Key, list all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P^PIasfic G=Glass, A=Air)

s SAMPLE DESCRIPTION Sampling Info Final Ail VoImdk Centainer Volume (Liter, etc) Matrix Type (ID must match container labels) (Lsy»«) Date Time Number ol Containers

/Ocio tn I ig 29 / O^e o I AR-S3 ~ to IM ■1* Arc- / //6rc/' I 56 A rc - S5 to Ai^dsfds''^^_______ tn 6« 1^0 5b 1*^ tn I cn -J 76 3c L> &4jr n /Ot^cy fio0>^3dZ ^cffth l3 9* Ar- oMi - 2RM- T 9- (3ty'M co I—1 10*4R- O' 3: »' /I z I — gclH- 5 I/ n (1) Relinquished by: Date , Time ;2) Received by. Dale Time 11(3) Relinquished by: lime o 3/^/^ o TJ I (•4) Received by: Dale 1 line (5) Relinquished by: Dale Time k6) Received al Lab: Rale lime o o D Method of Delivery: UPS FED-EX PAS Courier Client US Mail Other

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NYC-WTC_000228414