NYC-WTC_000229424

NYC 9/11 Public Portal Document

ml Analytical Services 4418 Pottsville Pike __ _ PSC TCd Work 3 Order # cn Q. Reading, PA 19605 CHAIN OF CUSTODY US2Oi^ phone: (610)921-8833 Page of I faxU610)921-9667or921-8^ PO# Quote # Name James Cohn JOB ID: 19125- Company ATC Associates Inc. Results Mailing Address 104 E 25th Street ANALYSIS REQUESTED CO To; City NY State NY_________ ZIP 10010 Use attachments if necessary. CO cn Telephone# (212) 353 8280 Fax# (212) 353 8306 Please specify method requirements. Preservatives Key: I Name A = Ascorbic Acid M Company N2 = NaS2O3 cn I Submit SAME C = HCI Mailing Address H = HNO3 S = H2SO4 □ Invoice City State ZIP I =lce Z = ZnAcetate U) Tn: TuiRptiuiie ff Fax# N = NaOH X = None Credit Card Info (include exp. date) u 04 Sampled by Id/f^O'C^' Sampling Location (Specify State): XY 0 = other: Due Date: (Rush TAT requires Lab approval) 0 REPORTING REQUIREMENTS (Circle all that apply) CL PrexrvfSivef (See above Key; Full Data Package Reduced Deliverables Package Electronic Data Deliverables MaB that apply) UST NPDES MIPP RCRA Stormwater DEP (PWS# ) Type(P=PtastK.G=Glass.A=Ak)

5 SAMPLE DESCRIPTION Final Air Volume Matrix Type Sampling Info r— Container Volume (Uter, etc)

(ID must match container labels) Date Time Number of Containers I tZ 2 o i'Ty~ u •1 tn z 6 z (L s D w z H 9 cn L o in

IP D (1) Relinquished by: Date Time (2) Received by: Date Time (3) Relinquished by: Date Time

° 00 (5) Relinquished by: Date Time (6) Received at Lab: D^le Time 'o W (4) Received by: Date Time o O C Method UI Dciiveiy; UPS FED-EX PAS Courier Client US Mail Other bO

CO

NYC-WTC_000229424