Chain of Custody Record, Sample AE06333, March 2002

NYC 9/11 Public Portal Document V)

Q WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla. New York 10595 4' (914) 231-1620 Fax (914) 231-1772 : , X/-" ' ■ I a Yhn^U^Nck ■10108-4 Time/Date Set: "4 ^mpl0Type(circleone): ' Jt^oteble 3. Non Potable Treafed 1 'NonPotable'■ - ■ (AOther ■ ,// , .B- __:v»._No TIme/Date Collected; , Colleet^ By: v * Agency Code: ';pws-fe4/;' . . . . * CoilectedFrom: ; <y.. ywr, .> -■ j®-/ Location‘s/lndlvldual's Name Name/Company :.Street-,_B_l_________ __ 1-31S2ZZ1SbZ41^ iCity^t/ZIp Bc^sntoicatlon of Source Collection Point ‘4 "'-B ... Phone#: ZZSzZ^ZZZS^ZZZZZ^^ BACTERIOLOGICAL ANALYSIS

__ Heterotrophic Plate Count ^^{hemodtalysia & all others) Lab#:_________ _ ______________ ORGANIC POTABLE ANALYSIS -^CTHhalQrrt^dii^"{^)44/'’ - _ Volatile Halocarbons (524) ■i ..............

XSCoWbrrn P/A (Publlc aupplles) _^ Collform MPN (priv well, raw^ stp) _ Volatil8 Aromatics (524) Pecal Collftii^ aamp^) ' __ Total Trlhalornethane Potential (510) __ MfcRtexfractebl^ (SMy^ Y O|Mac^^:4T __Pesticldes/PCB8creen(508} _ PCBasDecachloroblph8nyl (508A) ®®®S^&gRStl __ Other:-------- _H8rblcides (515) 4

Refrig^ffated?----- yes----- no- __Pes8cld8s (525) (531| 'Im ; Chlorinated:?yes----- no _;Glyphoeate (547) ’ 8 VS&S5S^5/8270^ ' "' >< _ Chlorination Disinfection Byproducts (55,1) Total Chlon™ Res: mg/t pHY- Other Pesticides (SM18/6630)' ' '4il B';4 .; . .-r,Y.l..^ _UCMRLlst1 ^DIOCHEMICAL ANALYSIS _MtBE Only (524) If h; IlZ32ZZZZZZZZZ 1' ft.

I ... ........ ... -......... ........

“SSttfe’'* • rurotdity __ pH ' - SL’B ' ' , ..t^ a AiitaMnity > . .- _ Brofniae -: '4'.: ■ - ■ ■. ■ - jA^cAnttr , 3^ Arsenic II _ Conductivity _ Bromate/Chlorate/Chlorite ^ESprlum 4^C0rio^'^pt.Z;^) _ Chipride' i,^lflum I f Z cJrbonaSusBOD (5 day) Soluble BOD (6 day) " .. —Total Hardness, ... as CaCOs „ Nitrogen. Ammonia as N ZcSum IBS 44’ •5- I I

4-?/ESs8oK^P>^ienY-> ■ ^'Metels/CN ■' iZ Wal Oh^jife CarbojT ,; „Tota{Ofganlc Halides _< Nt6o^ Wl^dahla8 N B „ __ ^hromlum. Hexavalent '“ sSoiatiles ’' 4p««c«t««:B’s I B St BZ ®>«0^Per^ m OltandGrease , -L^Cbpper ‘J

_ Sonds, Total __ Phenol _ Phosphorus Total as P . .^ Phosphorus, OrthoasP julfort • ^tead 4-. ■■BY.'-'-/■;>.'■■ 'Ate;®-: _„TCLP-Metals . I 3 _ Suffetes j^t^^nganese , _TCI,Pf<,etlcides ,

I ' 44 sends; Wai Dissolved ' Sui^^ ' Bi W264 '■ ' Ai^ercury SiVIoiyfadenum ■ ^Nickel B • . Jt. 11 _TCLp.H8rfalcld8s , _ TCLP-Volatlias _TCLP-SNAs BitS

NYC-WTC_000075273