NYC-WTC_000222460

NYC 9/11 Public Portal Document

esc PSC Analytical Services 4418 Pottsville Pike CHAIN OF CUSTODY PSC Work Order# 3 '(U (£

Reading, PA 19605 phone; (610) 921-8833 fax: (610) 921-9667 or 921-8407 Page f, of t O ro PO# Quote 1t □ Cx}

Report Name JOB ID: A O Company TJ Results Mailing Address ANALYSIS REQUESTED To; ^ZZ^y State /'Ty ZIP /OO/l? Use attachments if necessary. Telephone# 7/7 $$2 Please specify method requirements. Preservatives Key; ■D W Name A = Ascorbic Acid n Submit Company Cs C = HCI N2 = NaS2O3 Mailing Address H = HNO3 S = H2SO4 Invoice City State ZIP I = Ice Z = ZnAcetate To: Telephone # Fax# N = NaOH X = None Credit Card Info (include exp. dale) Sampled by: /Gi/r? Sampling Location (Specify State): /NV 0 = Other: Due Dale; 7 (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 all that apply) UST NPDES MIPP RCRA Stonnwater DEP (PWS# ) (P-Plastic, G=Glass, A=Air)

2 SAMPLE DESCRIPTION Final Air Volunif Matrix Type Sampling Info Container Volume (Liter, etc) (ID must match container labels) (L 01 mill) Date Number of Containers CT I c t 9 /A o V/ e J t 4 A-fO'-OCo 7- / I o / 5 It 7 u a H 5 a 1"^

S a 8 I—i 9 o o 10 I o o (1) Relinquished by^^_^ Date - Time 0(2 1(2) Received by: Dale Time (3) Relinquished by: Date Time CO ___________ CO LO (4) Received by: 'oAe Time ||(f 1(5) Relinquished by; Date Time Time I—i CO C73 C.liont US Mail Other

NYC-WTC_000222460