NYC-WTC_000208130

NYC 9/11 Public Portal Document N P. 610-921-9667 aSC Report Results To: Submit Invoice To: Sampled by: Due Date: Full Data Package PSC Analytical Services 4418 Pottsville Pike Reading, PA 19605 CHAIN OF CUSTODY phone: (610) 921-8833 fax: (610) 921-9667 or 921-8407 IPO # Quote # Name aunes Cohs Company ATC Associatee Inc. Mailing Address 104 E25Th Stnet JOT fbor City New York State ZIP 100/0 Telephone # 212. 353, 8280 Fax# 212." 353.8306 JOBID: 19/25-0289 ANALYSIS REQUESTED Use attachments if necessary:" Please specify method requirements. Name Company SAME Mailing Address City State ZIP Telephone # Fax # Credit Card Into (include exp. dale) WAGDZ A TENZÍN Sampling Location (Specify State): (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) Reduced Deliverables Package Electronic Data Deliverables PSC Work Order# RO2051134 Page — 1 of L UST NPDES MIPP RCRA SAMPLE DESCRIPTION (ID must march container labels) ATC-0527-150M-S1 ATR- 0527-150M-S2 ATC- 0527-150M-52 BTC-0527-I50M-34 ATC-0527-150M-55 Stormwater DEP (PWS # Final Air Volume Matrix Type (L Riasnia) 10.20 AIR 10 20 10 20 1020 Blazk ) Sampling Info • Time Date 521/02 Preservatives Key: A = Ascorbic Acid C=HCI N2 =NaS203 H=HN03 S = H2SO4 li=ice Z= ZnAcetate N=NaOH X= None O= Olher: _ n00 •00 60• Blaal / Preservátves (See above Key." list all that aoply) лсктатьть Type (P=Plastic, G=Glass, A=Air)| msтртлном Container Volume (Liter, elc) татетласяснаноть. Number of Containers Mai Lobby maltipulpose Rm Roam 30L Roow 303 Blauk CITY_21MC100. 003020204 03:46р 02 10 Jun 10 (1) Relinquished by: (4) Received by: Wayohi Method of Delivery: UPS NYC-WTC_000208130 Dale Date Time Time FED-EX (2) Received by: (5) Relinquished by: AS Courier Date Date Client Time Time US Mail (3) Relinquished by: ((6) Received at Lab: Other Date Time Time 631210:00