Chain of Custody Record, Westchester County Lab, Mar 2002

NYC 9/11 Public Portal Document ' ENVIRONMENTAL SERVICES SAMPLE SU^MIS^|6N^I=6J^ =''" ' WESTCHESTER COUNTY LABORATORIES AND RESEARCH B 2Dana Road, WlhW^N^Yorlt, 10595" (914) 231-1620 Fax (914) 231-1772 ‘'2 ■<? 2 2- NYS-ELAP No. 10108 YTime/DateSet: --- ISamploType(circle one): (potable 3. Non Potable Treated I^J^'Pc^ble-'■■■.' 4. Other / : _ Chain of Custody?Yes___ No U iH3 'V % Tlme/Date Colleded: . Collected By: i^, Agency Code: _ _ ;' C0mtllWrt8:?.£rL___Y:L-illJi-iM-^^ .5 S' ,PWS SOurce'ID: X'Type Oe8criptor: : Collected From: " Blirter^:; ■' ■ ! Y^Atatlon'Srtndlvidual’s Name K)MC. Name/Company ^■3 Hf t Vf - Stteet':.2__ I ..city/stgip \Axlwvi<^, Identiflcation of Sgurce ’ 'Collection point PCt I _

- City/St/Zip^ Phone#: __ I CACH, Bl? Ched^:Y iY Amount$_ i1 X______ 'LOGICAL ANALYSIS Lab#:

^HeterotrophicPlate Count ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS OOW^ialysis & all others) _Whalomethan8s (524) _ Purseable Hai{x»rb6hs (624/8260) ~ ^^^6^P/A (Public supplies) jX^atiie Halocarbons (524) _ Purgeable Aromaflcs (624/8260) ' I I 7i MPN (priv well, raw, stp) ii!*Volaflie Aromatics (524) ' _ Acroleih&AcryloniWlB (8260) ?^ ■^PtejCai Coliform (ail samples) _ Total trihalomethane Potential (510) _ Organoch1orine Pestiddes (608/6081) ^/Yj’Mil^scooic __ Mlcroextractables (504) : _ PCB's (Arochlors) (608/8081) < *ic __ Pesticides/PCB screen (505) _ Herbiddes {SM18«630.8151) . I if a • ■ - ■ __ PCB as Decachlorobiphenyl (508A) _Hert)idde8 (515) _ Pestiddes (525) _ Other Pestiddes (SM18/6630)' Petroleum HydrocarbonScan(310-13)rY __ Glycols In Water merated? - > , yes tt^d:?’;__ .'yes no no __ Carbamate Pestiddes (531) _ Glyphosate (547) _ Diquat (549) Y _ Add Extractabl8S (625/8270) > Yj ? ■ _ Base Neutral Bttradai5leS (625/8270) i^G/MS Unknown Scan I 1 efehiorlne Res:_______ mg/L _ Chlorination Disinfection Byproducts (551) _ Phthalates {606MS) . Si Chlorine Res:_____ _ mg/L _LHaloacetic Adds (552) _Other_^ -a 8ssk-'- _Other Pestiddes (SM18/6630) . __UCMRLi8t1 1 lOCHEMICAL ANALYSIS _MtBE Only (524) 4 :?■

MIC ANALYSIS REQUESTED - - y'-J. Addity- Y ' _i:^uminum. C- Alkalinity ' _Jotasslum i SnriHctivitv __ Bromide js^rsenlc ;<X#onauctivity Brprnate/Chlorate/Chlorite X^riurn ^fel^,.(temp:___JO) _ Chloride ,.iswr)dlii^ Y Y ^5"" -^.Cy^lde-/-' .':Y. \ __^fbn?Y/Y''Y.YY __^adium $ Carbonaceous BOD (5 day) __ FlMoride . 'jXS^lumYY’Y'-YY -JS^Soc - __ Hardness, Total as CaCOa __ Caicium. as CaCOs .. / Nitrogen. Ammonla ayM < " Calcium, ,Ca« Y4; Y" <i)to/cH;YY;Y'Y2' ; Y_ Nlt^efl, Nitrate as N iijWix^urh, Total' ta^C^n;-'-' Y. Nitrogen, Nitrtte as _ Chromium, Hexavalent - Volatiles; / Y Seml-violatlles - :< y; I to«leHai<le8- __ Nitrogen, TotalKJeldahl as N Yttj^balt Y (Y OH and Grease Y j-*^pper fl -Y,Pe«ldda8(PCB’svYY^;

Be-- _ Phenoi _ Php^horu8 Tbtal asF» __ Phosphorus, Ortho as P _ Sulfates Js<ead _ Magnesium js«!<anganese -.Y i „TGLP-l^tals

■zlggSSpSS ii _ __ Surfactants .ja^ercuiy

I NYC-WTC_000074831