NYC-WTC_000222466

NYC 9/11 Public Portal Document

PSC Analytical Services 4418 Pottsville Pike *1 ■n Reading. PA 19605 Phone:(610)921-8833 CHAIN OF CUSTODY WgkWz Page j/of ~f fax: (610) 921-9667 or 921-8407____________________ PO# Quote # Name James Cohn JOB ID: 19125- C-,2^ Company ATC Associates Inc. Results Mailing Address 104 E 25th Street ANALYSIS REQUESTED To: city NY~ Stale NY________ ZIP ^QoiQ Use attachments if necessary. Telephone# (212) 353 8280 Please specify method requirements. Fax# (212) 353 8306 Preservatives Key; Name A = Ascorbic Add t Company 1 Submit SAME C = HCI N2 = NaS2O3 Mailing Address H = HNO3 S =H2SO4 I 2 Invoice City Slate 2IP l = lce 2 = ZnAcelale : 3 Tn- TeiepiioneS Fax ft N = NaOH X = None Credit Card Info (include exp. date)

Sampled by: Sampling Location (Specify State): NY O = Other; Due Date: (Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) I Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See atwve Kay: r UST NPDES MIPP RCRA Stormwater DEP (PWS# ) TypelP=Plastic. G^GIass, A^) rJiti SAMPLE DESCRIPTION Final Air Vohini! Matrix Type Sampling Info CorOalnef Voltune (Liter, etc) (ID must match container labels) (L ill iiiiiiy Date Time Number at Containers

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(2) Received by; T° (1) Relinquished by; Time Dale Time (3) Relinquished by; Date Time

mW (4) I4eceived by: Time (5) Relinquished by: Date Time (6) Received at Lab: Time co co c iVrijlIiod of Deliveiy; UPS ' PAS Courier Client US Mail Other o

NYC-WTC_000222466