NYC-WTC_000226857

NYC 9/11 Public Portal Document

PStZ PSC Analytical Services 4418 Pottsville Pike PSC Work Order # 02 ■0

Reading, PA 19605 phone. (610) 921-8833 CHAIN OF CUSTODY Page AoT^‘^o<?'T‘y | of ' fax: (610) 921-9667 or 921-8407 □ ru PO# Quote It a Report Name T><34tA<e^ Co ¥\V\ JOB ID: CD

Company Atc As^ocLaJLaZ Iac- 01 Results Mailing Address ANALYSIS REQUESTED ru QJ To; City yat'k. State A/y z'p Use attachments if necessary. Telephone # 4 4£,^3 . Of, Ptease specify method requirements. Preservatives Key; ”0 Name A = Ascorbic Acid CD Company C = HCI N2 = NaS2O3 n Submit Mailing Address H = HNO3 S =H2SO4 Invoice city state ZIP I = Ice Z = ZnAcetate To: Telephone# Credit Card Info (include exp. date) Fax# 5 N = NaOH X = None

Sampled by. jtSampling Location (Specify State): 0 = Other: Due Date:(Rush TAT requires Lab approval) REPORTING REQUIREMENTS (Circle all that apply) 5 Full Data Package Reduced Deliverables Package Electronic Data Deliverables Preservatives (See above Key; list all that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS # ) Type (P^PIastic, G=Glass, A=Ajr) ’It s SAMPLE DESCRIPTION Final Air Voluiiif Matrix Type Sampling Info Container Volume (Liter, etc) (ID must match container labels) occebsq^ Date Time ffuinber of Containers I Si za^i'r 02 2 UtY/**' HxH O 3 CAt^e^fezU'c*- 1 ATc- CO 4 POO /k<a ilUZUj fotdcy ro 5 <3 ^0.IOWA I to 6 /DALa <3 Ida, EAST cn oO rJortk tn 7 xJ n I^OC^ 8 ATc-o3^^- MH - Sg (cir t'vv»A_ »-■

9 10 Arc- H'S/er o s n II t ATrts-oj ietA~S i/ e fivuA ~ ■ T--*- 4 TTcryiJiT (1) Relinquished by^^ Dale Time (2) Received by: Date Time (3) Relinquished by: Date Time

I (4) Received by: Dale Time (5) Relinquished by: Date Time (6) Received al Lab: Dale Time o "O o o <71 •dkhL ‘Z7S- 02 DO Method of Delivery: UPS FED-EX PAS Courier Client US Mail Other O O

NYC-WTC_000226857