Chain of Custody Record, Sample AE06301, March 2002

NYC 9/11 Public Portal Document

Y

A.

fa ZZ" 3. Non Potable Treated Bottle yO/ Si a''•'■4. other _ •_______ ■ Chain of Custody? __ Yes No Tlme/Date Collected: .. . ''Biect^ B^‘'AllA;^^.(gdZrW;Agericv Cq<^ . : Comments:. \ l-i!< I ;\PWS^tifeY|3Y2^BSi£|D323^^^^^^B I Collected From:- — Bill to: Locatlon’s/lndividual's Name. /iy C. Narrie/Company __2_3-—3_______ ‘ Street, . . g . .■-<dlhr/St/2p^ aaY , ..-Y,ZZ ■ Identification of SourCe,__L33L__Y_^^ Phone#: __ _____ _______ . Fa)dl: J______ * Collection: f c/gCH/Bt? aa ;Ched^:W?yY^ .12::.. -Z2Z3..;...L _:_.LL2322^_.Y1£:Y1_.3132Y_Z_;32Y._._____3:^^1__ _LL_iJ_i3_LiL3—

BACTERIOLOGICAL ANALYSIS Lab#: _______".a y ■ ?; ^ORGANIC NONPOTABLBSOLID ANALYSi^i organic potableanalysis 3;. Heterotrophic Plate Count _Triftalomethanes (524) * 3 Purgeable Halocarbons (624/8260) Z (hemodialysis 8. all others) < _ Coliform P/A (Public supplies) 3,; Coliform MPN (priv wall, raw, stp) _ Fecal Coliform (all samples) / I. Volatlie Hafocarbons (524) Volatile Aromatics (524) Total Trlhalomethane Potential (510) _ Microextractables (504) ■ ■Ruig^-AtoitWW^ /' -YA ^AaroleWXAS^tobaa^ A; Microscopic MadwscofMc ’ „ Pesticldes/PCB screen (508) __. PCB as Decachlorobiphenyl (508A) - Z hSiKS?»S?5’) ay’4L other P8Sticides, (SM18/6630) ^ aa^^ '■■i iSAW.rT-Y" i'M. _ Herbicides (515) ... A 3. W^&a? __Other: Pesticides (625)

■I Refrigerated? ,3^. yes ; HP 3- Carbamate Pesticides (531) Chi^nat^:l>3_3. yes 3_;. rio Y/:/ __ Glyphosate (547) Ml' BaseNeutrai Extractables _Diquat(549) . X^GC/MSUnknownScan pree' Chlorine Res:. " mg/L _ Chlorination Disinfection Byproducts (551) 3 Phthate^;(60^Y.A: Total Chlorin8Res; £_anng/L; Li HaloaceBc Adds (552) _ Other Pesticides (SM18/6630) „UCMR List 1 : RADIOCHEMICAl. ANALYSIS ; _MtBE Only (524) __Radon 'A' _ Oth8r: ...... '—■,

INORGANIC ANALYSIS REQUESTED .Lab#: , ■—■ ....

Y ZZZZZZZZZZZZZSIZZS^S — Color 3iYrurtjidi^ ? ' 3.-pH ,Y;Y<A 3YConducflvlty Y _Corroslvlty(temp:____“C) — BQD(5dayjY Y A Y3 Carbonaceous BOD (6 day) a 3 Fluoride _ soluble SOD (5 day) _Apldify - Y AHttillhltv Y A" YA,3Bmrhid6'‘'-'^ _ Bromate/Chlorate/Chlorite _ Chloride a-/..3 a;.;/, ' 3^Cyani^"Y''.YAA -.Z/

_ Hardn8ss, Total as CaCOs ■>■

^Barium _©A^Wmony^;' '.''3 . .Xn^niCA-'Y; ■? Y S' 'lY-'g^BerylBum-AA'’^- Boron Y aaY- SCadrnluhilY^ Y _ Calcium, as CaCOs wi MBs iA;®! HS3 ■ _ Chemlcal Oxygen Demand 3 DlssolYediCtoqien Y Y i __ Nitrogen, Amfrionia as N Nitrogen, Nitrate as N , .^ Calcium, Ca« a < Sphromlum. Total _ Volatiles ,, ,, I 3 Total Oiganic Carbon 3 Nitrogen, Nitrite as N _ Chromium, Hexavalent a _ Total Organic Halides , _ Nitrogen, Total l^eldahl as N Scobalt ’ ~PeS!dSs?PCB's » , . .. Sollds/Perceht (%) / 3 Oil and Grease a ' _ Solids. Settieabie Y 3/Ph8rioi Y a Iron _ Solids, Suspended 3 Phosphorus Tota! as P 3 S0ltd8,1bta! YA : 3 Phosphorus, Ortho as P ium _ SGlids, Total Dissolved a __ Sulfates ; _ Solids, Tbtal^iatile _ Surfactant ^4«inr ^^TptPWWWea. A.^^ "^"Othsr:‘3-S£1,3Y 3;UV254aA _TCLP-V<llMlfes CMdybdenyrA ;; ^ckel jY,', ‘YIW^AYaM NYC-WTC_000075250