Chain of custody record, Sample AE 06050, March 2002

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM , ■ WESTCHESTER COUNTYLABORATORIES ANDRESEARCH 2 Daria Road, \falhatla, New York IO595 Y

Time/DateSefc ' Y fY ^ormA-70 (rev. 10/01)1

Sample Type (circleone): 3. Non Potable Treated

•i ■. ’T'Ndn Poteble'

Collected By: 4; Ottfer

AgencyCode: , Chaindf Custody? ±Ves No

^'Souree.ID: -ISii Collected From;. LocdtibnMn^lduai’^ Name Name/Company _Y sti^ Street Clty/St/Zip Identiflcatlon ©t Source Phone#: _____ , Goiiecflon Point CA,CH.BI?

i BACTERIOLOGICAL ANALYSIS Lab#: • Lab#: ' DRGANICNONPOtABLE/SOLlD ANALYS^l i H^rbtrpjjhidplate Count - ORGANIC POTABLE ANALYSIS _Trihalomethanes (524) X ^urgeable Halocarpons (624/8260) ’ (hemodialysis& all others) ■ _ Coliform P/A (Public supplies) J.^Volatlle Halocarbons (524) Purgeable Aromatics (624/8260) *»' _ Coliform MPN (priv well, raw, stp);; J^olatlle Aromatics (524) ■X- Acrolein A A&ryh^lti^';(82eo)'.:’':7.; _Z^ Fe(tel Coliform (all samples) J_ Total Trihalomethane Potential (510) X OrganochlorinePesticicfea (808/8081)*' I; _ Microscopic . Y_; Microextractables (504) _ PCB’s (Arochlors) (608/8081) _Pe8ticldes/PCB screen (508) X Herbicides(SMt8m;8lW f __ Macroscopic JYAPr?Y>-'Y a _ PCB as Decachlorobiphenyl (SOSA) X Other Pesticides (SMI8/6630) Herbicides (515)

I s. 'Y/Dlher:-' . ■ 'J ' _ Pesticides (525) Refrigerated? y«»’«~ no __ Carbamate Pesticides (531)* X AcW-E)dracteble8V(62S/82^il/''lSXW Glyphosate (547) Ba8e,l^u^f>dte^ple?;O^9|pg DMprInated:? ___ y^ L__ np ■ __Diquat (549) ? _ic<GC/MS Unknown Sdn-Y'Y"' Free Chlorine Rto:____z_ mg/L _ Chlorination Disinfection Byproducts (551) X Phthalates (608MS) • 1 1' ;|3 Totel, Chlorine R^: _____ mg/L _Haloacetic Acids (552) X Other:X^>-xXX-XXX_-XYXg pother Pesticides (SM18/6630)

RADIOCHEMICAL ANALYSIS __UCMRUst1 _MtBE Only (524) ___ gi’H I ,JRadon .. .lOther ■ Y ;.l I INORGANIC ANALYSIS REQUESTED • Lab#: s 3-Color'-:'; _ Turbidity . _/>cidlty __ Alkalinity J^Wumlnum _irAntlmony * __Potasstum .Js^eldnlum A y/' -7

"'"-IBS Bromide . JstArsenlc : ^Iver _ Conductivity _Brdmate/Chtorate/Chlorit8 <±fBai1um _Sodium _ Corrosivlty (temp :___°C) _^;BOD(5day)V <i __CHldrlde _Cyanide YJiBerylllurn . _ Boron t _ Vanadium ?, sliSI _ Carbonaceous BOD (5 day) ^ Soluble BOD (6 day) _ Fluoride ' , _ Hardness. Total aeCaCOa .iajCalmlum . jS , _Calcium, as CaCOs fitEttWiW- JisWS zzSl __ChemicalOxygen Demand _ Nltrogen. Ammonla as N _Catoumi Ca*® Y Dissolve 0)^at Total Organic Carbon _Nlt^erK Nitrateas N _ Nitrogen, Nitrite as N _i,§awomium,,Total __ Chromium/Hexavalent zasr ■ .'SB ;i^TbtalOr^icHaildes _ Sollds, P8rcant (%) __ Nitrogen, Total l^eldahl as N _OitandG^se S' „S8mi-Ylolatiles O/PBicB^b’s;- tc I _Solid8,Settl8able Y’tYY/YiS/SY...... J, Phenol _i..lron ?vj' „ Solids, Suspended _ Phosphorus Total as P _^Lead KiLE „Sollds,Total • _ Phosphorus, Ortho as P _ Magnesium \ _TCLP-Meta!s / _;TCLP-PB8ticides fl. jl^ld8;ibtat Dissolved _ Sulfates ; _fc-Manganese ' .^TCLF^H^itblcldes _^lid8,Totel Volatile -^felDthen . __ Surfactants UV254 „*^ercury _4f^yfotyfad8num . I Ysgasjufeu-iM- Sii r- -J^Ucket ~ * ; ■ ’• A., tiaW

NYC-WTC_000075157