NYC-WTC_000188343

NYC 9/11 Public Portal Document

esc PSC Analytical Services 4418 Pottsville Pike Reading, PA 19605 CHAIN OF CUSTODY PSC Work Order# iWifcgCey 3) U T

phone; (610) 921-8833 Page I of ( O ru fax: (610) 921-9667 or 021-8407 a PO# Quote# U

Report Name JOB ID: 01 Company .T wcL Results Mairmg Address AmC- p: (OtU ANALYSIS REQUESTED To; State Use attachments if necessary. Tetephone#^fj Please specify method requirements. Preservatives Key: T3 W Name A = Ascorbic Acid n Submit Company C = HCi N2 = NaS2O3 Maiing Address H = HNO3 S =H2SO4 Invoice city State ZIP ,v I = Ice Z = ZnAcetale To; Telephone# I Sampled by; Credit Card Info (include exp. date) Fax#

Sampling Location (Specify State); (Rush TAT requires Lab approval) is- N = NaOH

O = Other: X^None

Due Date; REPORTING REQUIREMENTS (Circle all that apply) or Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key: list all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P-Ptasbc, G-Gfass, A=Afr}

SAMPLE DESCRIPTION Final Air Voluiw Matrix Type Sampling Info Container Volume (Liter, etc)

(ID must match container labels) (L w-mtn) Date Time Number ol Containers Cd m i -o\ 2 a I 3 to ro 4 I 5 to o ro H 6 m 7

S o S I—i 9 o o 10 I i o: o (1) Relinquished by. Dale Time (2) Received by: Dale lime (3) Relinquished by: Date lime co o' ¥-/g/a f- "0 o (4) Received by: Dale Time (b) Relinqi»sli(?d by: Dale Time 1 imp o m co Method of Delivery: UPS ^^^^ED-EX PAS Courier Client US Mail other

NYC-WTC_000188343