Chain of Custody Record, Sample AE06333, March 2002

NYC 9/11 Public Portal Document

ft ter ": 'eiww^MiiNTOBmOSO^tt.«S^ s> :com WESTCHESTER COUNTY LABORATORIES ANQ RESEARCH 2 Oana ■ Road, Vlalhalla, New York 10505 ■

I' V?. •• ■ 1^;;: Time/Date Set: '■ -■ (914)231-1820 Fax (914) 231-1772 ..... ... .. .„,........ . . '

, Form^(rw.10/01)5l ■^rdeons):Y ,•/..-■■ ; YA Ofi/4n 'PwYM? f i ■

.-;...\\ .'S.Nort^Potab^T^^ ;

Ir <2.iiorf’Potable':,; ■.; 4.'Other Time/Date Collected: "■^lected'flv::'; ’*?:■ Yp,-"' //" ■'*^. ' -^’ . Y; Y/ _ CnalnotCuMotly?__ KIbb___ No ■ '■'Y-r YS.A :; ■ Comments: PWS#:_____11 Source ID: .. ?.-■•. ' *’ Y i S «?S Y; -sY' Y.A .:'Z'.d

Desoiptor: '■//BBltoBNwJ^^rnrY 5 Loortion's/lndlvlduars Name "yY" _ Name/Comoanv » ‘ ' . y . llllSllil i City/S^lp_____________________ ________________ Z J Cltv/St^D ;■ \ • •■ msi w identification of Source_____ ________________ ________ Cotlectfon Point ______________

f tab#;________________ _;. Heterotrophic Plate Count ORGANIC POTABLE ANALYSIS __Trihalornethanes(524) ?-p- AYBi^^Hsa*# (hemodialysis & all others) _.VolatireHaiocartx3ns(524) •’2w V ;^ C^|fortn MPN (pclv well, raw,8tp) _ Volatile Aromatics (524) ein &AdryiohtiTiie (8280) ' ^SpSd?w/808i)YY':; sirt^silOwii^sO __ Total Trihalomethan8 Potentlal (510) >7

fe;/ ._;_Macroscopic _ Mlcroextractables (504) ; ^Pestteides^’CB screen (508) ; __ PCBas Decachlorobiphenyl (i^^) ■ Im m f- _ Herbicides (545) ,

,_C8rijefn^e Pesticides (531)

£ mg/lY _Glyphnfifl«/547\

iZl5HW8^Dlaini^6tionrBy^ucte’W^S;OiB^fe^BBBl^YWWS^S^^i .

a®lis?£/»£if .■ZWr>^de<(SM1fiWrM;;Zl|S|<lfeA^^^g c ^WOCHEMICAL ANALYSIS , ;BW^OY-^:iY?Y:-/,YYYZ0;Zgj010^a^^

I _4„t\acjon Z?^^Z^#ZZZ-ZZgYZ Y’zwzzzzzzg^^SSSSSSESHS^^S^^^^E^S S ib. ZfSidlty Z^Sty

b- >U£;;BC«5.^4ay)/aYY:; __i Ccfi^lty (temp:____ “C) .■ _ Chloride . :r;iY • ' B; a ff; WZPZ^Zy^Z^ ;3 Y&iSsr 2»w; ........ WZWBWte- I Ife __TotarOFganlcCarbon ■fetai 6ianfe Halides Pii^id8,PetcW (%> ’ __ Sollds, S8ttIeabl8 / --NJSJXIM* •<*««••« _Oiiand Grease _ Phenol. m I .. ., , ........... -djoUft .... ,.□«■ ...... ■ • : < .............., ... ...... . A- 25S2SL"'' ■'

te .£_;Spltt^;WYw: <?■ _ Phoaphorus Totat as P / _Pho8phorus, Orfto as P 111 ? . P‘1 __Sollds.Totat Dissolved ^iSuifBtes:;"/: f" • Wbther:' : Volatile V 2X^S«rfactant8 _ UV254 TZrCLPMHerbtefdes _TCUP-Volatil8s __TCLP-aNAs . < ' / r- ____ Y , J

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