Chain of Custody Record, Sample AE06406, March 2002

NYC 9/11 Public Portal Document

.« ACCOi> ENVIRONMENTAL SERVICES SAMPL^ SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH )v.com 2 Dana Road, Valhalla, New York 10595 * ■5 (914) 231-1620 Fax (914) 231-1772 NYS-ELAP N0. TOIO8 ’ ,.TiSzD^,S^: ■cl-' /' Form A-70 ftBW;10/01)

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3. Non Potable 'Treated Rs ley ,K 4. Other Chain of Custody? Yes No iw fedltected: D.Z- f V■ Agency Code: Comments: PWS #;_______ . Source ID: Type Descriptor: Sis' Bill to: n^^ijal’s Name Name/Company _ ■a Street - City/St/Zip K» Phone#: _ _____ Fa)dl: _Z—sMi I CA.CH, Bl? Check#: Amount ' py it ^^^tdr^pi^ Pii;i^nt Z: organic POTABLE ANALYSIS Y ORGANIC NONPOTABLE/SOLIDANALYSIS' 'i __ Tri halomethanes (524) _ Purgeable Halocarbons (624/8260) a ffilhernodla^ & all others) Z'ColiMh P/A (Public supplies) ^ Volatile Halocarbons ^24) — Purgeable Aromatica (624/8260) : ™ :^^pllform MPN (prW well, raw, Stp^ sS ^ Volatile Aromatics (524) Z — Acroteln & Acrylonitrile (6260) : i > Coliform (all samples) •^^’i^Trihalomethane Potential (510)^^ / — Organochlorlne Pesticides (608/w81) « > _'Rlidfeextractables (504) PCB’s (Arochlors) (608/8081 ) Z ■: scoplc z' ;Z; __ Pestlcides/PCB screen (508) . * • * _ Herbicides (SMI 8/6630,8151) ' -4 lie - PCB as Decachlorobiphenyl (50^ 5- Other Pesticides (SM18/6630) 7^) if ' i’ . ZHerbicides ^5), _ Petroleum Hydrocarbon Sqbn (310^13) X j _Pesticides (625) ■,^- Z Glycolsin Water Z' Carbamate Pesticides (531) Z Z Add Extractables (625/8270) Y X ,, ^Chlorinated:? X;^Yes_ 'ino'-'p;; _ Glyphosate (5471 < ) .. ZJ?^Neu&Bl Extracables (625/8270) "K’ _Diquat'(549)' “ ZGC/MSUnkhown Scan - ------- '

^=3 -mg/L -rng/L _ Chtorination Disinfection Byproducts (551) _Haloacetic Acids (552) _ Other Pesticides (SMI 8/6630) ' _ Phthalates (606MS) odwZZZ^Z—ZZZZZZ. 'ZZ

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sra mt^WyALYSiS __MtBE Only (524)

>S«»J B- __ _____________ ___ iU 3 .'"y IBJ ^A&YSIS REQUESTED - Lab#: _ [f' 'Oddity' ?; _ Alkalinity * 4/Aluminum ; •. ’ y ; ' / Antimony ;Z.; Potassium *•

Bromide A^enic |w _&romate/Chlorate/Chlorite ^Barium :2sodioifr-4'Z> ISmW-OBmp:____ ^) _C}lloride jZBeryllium .is'Thallium';'-// — Cyanide _ Boron ----•i—---us bod (5 day) _ Fluoride _Cadmium r^D (5day) Hardness, Total as CaCOa __ Calcium, as CaCOs ^iOxygen Demand __ Nitrogen, Ammonia as N Calcium. Ca*2 • . ^Oxygen _Metals/CN Nitrogen, Nitrate as N _X. Chromium, Total _Volatiles (rganic Carbon . _ Nitrogen, Nitrite as N __ Chromium, Hexavalent Irganic Halides _ Semi-violatlles Nitrogen, Tbtal Kjeldahl as N .rCobalt __P0stlctdes/PCB'8 ■ S:J k’’ ■

Percent (%) .gettleabte ^Suspended Oil and Grease _ Phenol i _ Phosphorus Total as P Copper Xiron TCLP ^Lead _TCLP-Metals Sx. _ SolidsY^ . ■ ■■:: _ Phosphorus, Ortho as P __ Magnesium __ Solids, To^rtDlssolved _i.TCLP-Pestlddes ■ _>SMlfate8 >. Manganese _TCLP-Herbicldes _ZSolids,.;iS^ladle _ Surfactants ^Mercury Other ' < — UV2^ ; _TCl.FMfolatiles _^Motybdenum _TCl-P-BNA's ■' <2, Y □,iNickel 3*.

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