Chain of Custody Record, Sample AE06301, March 2002

NYC 9/11 Public Portal Document

environmental SERVICES Sample SUBMISSION FORM |WESTCHESTEt60U^''LABSR|^W|O'B : / 2Dana Ro<ad,Vaihal|<Niw^A^ /v'■:-(914) 231-1820; ''FaldtBl^y^j-iTTa f;;

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■ Collection Point ------ t CACH/BI? ' -A"A--;'(-Qiecidf: <ZZ'^;AZZ^^i^^ CA>CH,Bi?. ZZZZZiZZZS^^SS^^MH BACTERIOLOGiCALANALYSIS . Lab#: Heterotrophic Plate Count; I? O^ANIC POTABLE ANALYSIS ZTrihalomethanes (524) -zzazz^ ORGANIC NONPOTABLE/SOLID ANALYSIS j •■J;VpW!jibaWaHiB^^ • i Chemodialysis & all others) , ' 4; iit ^^atile Halocarbons (524) I _l_ Collform PZA (Public supplies) ; Coliforftl MP^H (ph* waft raw.stp); Z^latile Aromatics (524) I'Z Total Trihalomethane Potential (510) __Acroiein& Acrylonitrile(a2^;S;Y;;"W X Organochlorine Pesticides (608/8081^3% Fecal Coliform (all wthptesl H „Microscopic ?-• .4, Z_ Microextractables (504)

fc /JiMacrdscopic^' Pesticldes/PCB screen (508) __ PCB as Decachlorobiphenyl (508A) Z Herbiclda$(SM18/663G.8lSl) ' •

ZHerbfcides (516)- - Z p«b«iiRirift;:i|M<iO I _ P8Stictdss (525) 4 GlygolsinWater "Z. ' ^eWgerated? __ yes nd _ Carbamate Pesticides' (531)' Acid Extractabies (625/8270) I _ Glyphosate (547) _Diquat (549) • ^GC/MS Unknown Scan " , Fre9.G1ilorineRes:__04i^/l- ; __ Chlorination Disinfection Byproducts (551) iTotai Chlorine ^ Haioacetic Acids (552) Z OtherZZZZ-ZZZZZZZ _ Other Pesticides (SM18/6630) __UCMRList1 r RADIOCHEMICAL ANALl^i^ _MtBE Only (524) •r^ __ Radon ; _ Other .I I INORGANld ANALYStSREQUESTED-Lab#: <Z«Color .;:3 ■;.,;Z^'Acldity \ _isrAluminum _ Turbldity Z Z; i A ■ Alkalinity . •^Antimony ; ^(.';j-Seienli|i;-^/.:;B; /-Z' A; ^-A YX'A ' A,:?-; ■ ;Z Bromide <1 Arsenic J , .j^SByer J ' ^ ^Conductivity __ Bromate/Chlorate/Chlorite ^Barium _ Corroslvlty (temp:_____’C) __ Chloride - .^Beryllium ■ZBOOjsdayiz <;>•> ■ Z‘' ' ZC>®nide _ .Boron Z Carbonaceous BOD (5 day) . Z. Fludrid® i Z Soluble BOD (S day) Z^ ' "'Z Hanftiass. Total as CaCOs _^..a.Cadmium / . _ Galdutn, as CaCOa 1 wISlj _.,Cheplcal Oxygen Demadd; _ Nitrogen, Ammonia as N _Caiciutnvda*®'>^ ■. ' 'i-u^ Z blssdlvad O)^en Z /' „ Nltrogen. Nltrate as N __i.Chromium, Total Y __Volatiles '' Z Totat OjbanIc Carbon Z/ Z Nitiogen. Nitrite __ as 14 -------------- _ Chromium. Hexavaient ; „Seml-violatiles Y|'(- ZZbtel^nldHalides Zg Nitrogen. Total Kjeldahl as N u^Cobalt _ Pesticldes/PCB's JfV _ SolldS^Percent (%) " " —'Ptt.and’Qre^e? ..' ■ ' '.-.^Copper Y'? _ So|ids, Settleable S Pherwt;; ■,Ub4rdi».-'y I£LE . ' Z Solids. Suspended a __ Phosphorus Total as P Uftead; ■ Z^Sollcte. Total __ Phosphorus, Ortho as P , _ Magnesium < Z Bollds, total Dissolved Sulfates _arManganes8 _TCLP-Herbicldes Z SoBd8, TbtalVblaflle Surfactants /.^Mercury Yl Other __UV254 .JiAtoMxtenurn ; - .1. . . ./.i/M/^i-ZZSiS , z' A:’ • •, • ■ T‘ .A

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