NYC-WTC_000229576

NYC 9/11 Public Portal Document

I 1 ■■V Anaiyncai ^services 4418 Pottsville Pike PSC Work Order# o Reading, PA 19605 CHAIN OF CUSTODY 0. Phone:(610)921-8833 Page \ of I fax: (610) 921-9667 or 921-8407__________________ PO# Quota # ssasssEsss

Report Name JOB ID: t Results Maaing Address AVC Company iC(^ iycifc ^6- -^ ANALYSIS REQUESTED r» To: S^ate ZIP/OO/O Use attachments if necessary. co Telephone# ^5;> , §2^0 Paii» I;? jeC Please specify method requirements. Preservatives Key: co 0) Name I A = Ascorbic Acid Company W Submit C = HCI N2 = NaS2O3 93 Mailing Address K = HNO3 S = H2S04 I Invoice City Slate ZIP O I = Ice 2 = ZnAcelale CO To: Telephone# FaT# N = NaOH X = Norte Credit Card Info (include exp. dale) T Sampled by; -77^.^ Sampling Location (Specify State); O = Clher;

Due Date: (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Electronic Data Deliverables Pnierv^nes (See above Key; Full Data Package Reduced Deliverables Package Bst at that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P=Plastic. G^GIass, A=fijri

s SAMPLE DESCRIPTION (ID must match container labels) Final Air Volumi

(1. ar min> Manix Type Sampling Info

Date Time Container volume (Uter, etc)

Number ol Cortlalners I I ypcT ZXj. <X|' r /ad /A t 2 IJLO 00 o « 3 on t/ fay felt/~ u 4 jTT^- 1/ O c- << O 0 c £/ tn 0. I 5 /fre- - i^o 6

Q 7 H IS 8 □ 9 CM I—i s so o 10 o o (1) Relinquished by: Dale Time (2) Received by: Date Time (3) Relinquished by: Dale Time o CM Io O o (4) Received by: Date Time ;5) Relinquished by Date Time (6) Received al Lab:

O CO c Method of Delivery: UPS ED-EX PAS Courier Client US Mail Other CO CT □ O

NYC-WTC_000229576