NYC-WTC_000223221

NYC 9/11 Public Portal Document

esc PSC Analytical Services 4418 Pottsville Pike Reading. PA 19605 CHAIN OF CUSTODY PSCWork Order# 0 0

c c phone: (610) 921-8833 Page E Of /. c fax: (610) 921-9667 or 921-8407 r PO# Quote* c =»== c Report Name_________ E" a>'Vvv< JOB ID; L Company C lA gfo T^<*c C Results Malwfl Address - jo/T. ANALYSIS REQUESTED ft

To: CHy state /i/y ZIP 6afi/p Uso attachments if necossary. Telephone#^ ' y Please specify method requirements. Preservatives Key: Name (t A = Ascorbic Acid r Company Submit C-HCl N2 = NaS2O3 MaXing Address H = HNO3 S =H2SO4 Invoice ciis; Stale ZIP l = lce Z = ZnAcetate To: Tetephone# Fax# N = NaOH X = None Credit Card Infofmdude exp date) III.... UT—Tsaaagsaaa. ....... —■ -i Sampled by; //z^nr Sampling Location (Specify State); (Rush TAT requires Lab approval) Q.. 0 = other Due Date; REPORTING REQUIREMENTS (Circle all that apply) Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; I list all that apply) UST NPDES MIPP RCRA Stornwater DEP (PWS# ) Type (P-Plasbc, G=Glass, A^Air)

s SAMPLE DESCRIPTION Final Air Volumr Matrix Type Sampling Info Container Volume (Uter, etc)

S (ID must match container labels) (L«ar min) Date Time Number of Containers 0 1/ 1 tCiCi Cm* A _____ -t zt 2 t7 fir)ofTc, C-Vuy • Lc> kky c I

P 3 sT/- i u ri 4 I 5 u o ail- a 6 a H 7 8 S Q q I—i o 10 o I (1) Relinquished by: Time 11(2) Received by: Dale Time (3) Relinquished by. Dale lime o o ■n (4! Received by; ' Dale Time (5) Relinquished by Dale Time lime CO LO CO C

CO Method of Delivery: UPS PAS Courier Client US Mail Other

NYC-WTC_000223221