NYC-WTC_000199077

NYC 9/11 Public Portal Document

CD F’SIZ PSC Analytical Services 4418 Pottsville Pike _ PSC Work Order#

0. Reading, PA 19605 phone; (610) 921-8833 CHAIN OF CUSTODY Page | of / fax: (610) 921-9567 or 921-8407 PO# Quote # Name James Cohn JOB ID: 19125-eJL 7-^ Company ATC Associates Inc. Results Mailing Address 104 E 25th Street ANALYSIS REQUESTED CD CD To: City NY Slate NY 2IP 10020 Use attachments if necessary. 0) I Telephone# (212) 353 8280 Fax# (212) 353 8306 Please specify method requirements. Preservatives Key; CM Name A = Ascorbic Acid I Submit Company SAME C = HCI N2 = NaS2O3 □ Mailing Address H = HNO3 S =H2SO4 CD Invoice Cky State ZIP l = )ce Z = ZnAcetate To: Telephone # Fax# N = NaOH X = None Credit Card Into (include exp. dale) Sampled by: Y^ux-iY Sampling Location (Specify State): nY________ 0 = Other; Due Date; (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key, list an that ^ply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type (P=Plaslic. G=Glass. A==Air)

z SAMPLE DESCRIPTION Final Air Voluini Matrix Type LU Sampling Info Container Volume (Liter, etc) b (ID must match container labels) Dale Time Nurrtberof Containers I /if'a Cru i- z'//v=‘ i/el\ CAsV 2 an-6 6 _JL_ U-e-vT-

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oO (4) Received by: Date Time (5) Relinquished by: Dale Time (6|I Received al Lab: co O ri to □ 2n Method of Delivery: UPS PAS Courier Client US Mail Other

NYC-WTC_000199077