NYC-WTC_000220643

NYC 9/11 Public Portal Document

PSC Analytical Services □ 4418 Pottsville Pike Q. Reading, PA 19605 CHAIN OF CUSTODY Phone:(610)921-8833 Page I - of i fax: (610) 921-9667 or 921-8407 PO# Quote# Name James Cohn JOB ID: t9125-^ .^2^ i Company Results Mailing Address ATC Associates Inc. r04 £ 25th Street ANALYSIS REQUESTED U3 To; City NY Stale NY_______ ^‘P IQQIO UsB attachmBnts if nBcessary. U) 05 Telephone # '( 12) 353 8280 Fax# (212) 353 8306 Please specify method requirements. Preservatives Key: I Name A = Ascorbic Acid OJ tn Submit Company C = HCI N2 = NaS2O3 I Mailing Address SAME o H = HN03 S =H2SO4 Invoice city State ZIP l = (ce 2 = ZnAceiate co Tn- TeivpiiUiie # Fax # N = NaOH X - Nene Credit Card Info Jude exp. dale)

Sampled by: Sampling Location (Specify State): cS O = Other; Due Date; (Rush TAT requires Lab approval) O ----------------------------------------- REPOR MG REQUIREMENTS (C ircle all that apply) Full Data Package Rer ed Deliverables Package Electronic Data Deliverables PnaerntlMs (SMab^Key: Hal al that apply) UST NPDES MIPP 'RA Stormwater DEP (PWS # ) TypefP^PIastic, G=G/95S. A-Air)

SAMPLE DESC IPTION Final Air Volumr Matrix Type Sampling Info ConMwVolumaiLaar.ats) Mb* r.Mr p^ra (ID must inatch coma r labels) Date Tune Number of Containers I /}rc- O 7/M - P«? V o73< - 5 5 ' i/ lf«/l fo t,3(t> i 8 I 4

f. Q

H o. f OD s V

9 GJ S 10 o o CJ Date Date Time o □ (1) Relinquished by: ' Date 1 ime (2) Received by; Time IK3) Relinquished by; I o ___ ______ U3 o P4 (4) Received by Dale Time (5) Relinquished by; Dale Time (6) Received at Lab: Date Time CO CO cn C □ JPS FED-EX PAS Courier Client US Mail Other o Meliwu of Delivery.

NYC-WTC_000220643