Chain of Custody Record, Sample AE06406, March 2002

NYC 9/11 Public Portal Document

3 im <com WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road. Valhalla, New York 10695 (914) 231-1820 Fax (914) 231-1772 Y Y -

Sample Type (circle one): 1.|^b!e ; ; 3. Non Potable TJeateef — ,, ; 2^ Non Potable . 4. Othw ______________L_,____ 't- 'ch^arcdsB^MWSsw^BltllSiO . Time/DateCollected;. Ajfhft'^ : - ■ .-YY ^i;- '".'Cdieded’By: -', 4-4fe ‘ -______ Agency Code: HtWtV - 'pvys,#:YuX_.5£X^^®SI^^20W^SO^^^ ■•’'i^lec^^From:Y ? - Y '’y ; Locatlon’s/lndMdual's Name Vdlu ,-1

;________ YCit^t^2Z-L.Y-,— Identiflcatton of Source Collection Point . . ‘ . U lA R V " ’’- > ’’ - ir f ’ / ; frW-’ '. ...... BtiAsMSwjfeT" s d5:Y>-'’YlA- 'L*-- Y ■■ :/ ■,.- " ■<• ' 'YYiYY - i cA.ciri;^Si?BSO^wSK ^TERIOLOGICAL ANALYSIS' / .................... /p?; rkS/A _Trihalomethanes{524) . -(hemodtelysls S an others) ' _i. Coliform P/A (Public supplies) __ Volatile Halocarbons . ,..... (524).- . . - .. . W«< stpJ _Vola8ie Aromatics (524) , ;_:^Fecal Collform(all samples) _ Total Trlhalomethane Potential (510) > _.Mi«odxtrac^'(^);/YY Y.Yo?Y YY-Mtawxjpic ■ ^Macroscopic _Pestic!des/PCB8cr0en(5O8) ,> _ PCBasDecachlorobIphenyi (508A) ' ^Herbicides (515)

I »ffi05^7:-Y-.S^__no-' . _ Pesticides (525) _CarbarnatePesticides (531) _ Glyphosate (547) <

' , RSS'f '-.'.'. ■" \"-' ma/L" _ Chlorination Disinfection Byproducts (551) Y r - <. Totel Chlorine Res:----------- mg/L Haloacetic Acids(552) _0th8rPesticld8s(SM1 8/6630) -•’ -

Yf jY l^ -ryy/ zssssiw , •■: s I fHCRGXNIC analysis REQUESTED - Lab#; _ “Y^YlSZEZZZiZESl^

• pH • ..... -.......... . . ^■CorWe^'-YY'-^^ _ Browate/Chlorate/Chforlte ^ C?ono8W (t^ -(5 day)' ? fl

I .-mass-- _ Hardness. Total as CaCOs

I „Nltr^0n;Arrimoniaas ^^:Dl88«i^.Cb0^'.r • _Wto.Hiti^asN w). _TotalOrganlc Carbon _ Nitf^en,Nltrifea8N

B ^■RrtafOtganteHalldes _Soli<is, Perc8nt(%) -,SoHtls, Settleable _ Nitr^en, Total t^ahl as N _ Oli Phdpol Grease

_ Solids, Suspended _R«^rtidrti8TbtalasP i:£MJrW'-S^;^3s5jYM^ B _ SolWs, Total ; 1^.' ^;SoH<^1btat Dissolved __ Phoa^rus. Ortho as P

ig, ScJlld^ TbtelVblatlle

By YX'/other ,___L,____ - ■-V' ? ■• - i .... .»«

NYC-WTC_000075297