Chain of Custody Record, Sample AE06423, March 2002

NYC 9/11 Public Portal Document

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V <'..h > . 3. Non Potable Treated . 2. Noh Potable ‘ 4. Other___________________W

' Agency Code: ' ‘ |' . PWS #:Source fDt __4i—Type Descriptor Collected From: LoGatlon's/lndivIdual's Name Nnma/CnmnanY Street ./Y; Street ' - ’* ,1,..! city/st/zip '/.Ve^nKu tte. . Kt’^i ' . Clty/St/ZlP - I . :?r; ' . Identification of ^urce Collection Point ' ’ ' .-. ." ' 701 ' 2' . Phon^:l__l__F^_^a^^ I 5i^«J

I CA,CH, Bl? -cnad*^L.An>yg;;a^ BACTERIOLOGICAL ANALYSIS Lab#: I ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLB SOLID ANALYSIS Heterotrophic Plate Count _Trlhjilometeanes (524) , J (hemodialysis a all others) « Purgeable Halocarbons (624/8260) . ' _^jrf4?Slatile Halocarbons (524) _Z-Purgeable Aromatics (624/8260) '> v ‘ _ Coliform P/A (Public supplies) _ Coliform MPN (priv well, raw. stp) _|^atHe Aromatics (524) Acrolein & Acrylonitrile (8260) _ Fecal Coliform (all samples) _ _Total Trihalomethane Potential (510) _ Microscopic _ Microextractables (504) _ PCB's (Arochlors) (608/8081) __ Macroscopic _Pesticides/PCB screen (508) 4;Herblcldp8'(SM18/6630,8151)(/i'g _API 2 _ PCB as Decachlorobiphenyl (508A) 2: -Other Pesticides' (SM18/6630)-/'ai/i/i|gift __ Other __________ _____ _Herbiddes (515) PetroleUftvHydrocarbon Scan (310-13) _ Pesticides (525) Glycots'ld/lrtfater" Y-'/r '.2 Refrigerated?yes no __ Carbamate Pesticides (531), 1 Acfd Extractables (625/8270) .. . . : . .. ...... . ..L

Chlorinated:? yes no _ Glyphosate (547) Neutral Extractables (625/82^0) ' .‘X ^C/MS Unknown Scan ' ' Free Chlorine Res:mg/L Total Chlorine Res: mg/L _Diquat (549) __ Chlorination Disinfection Byproducts (551) _Halo^tic Acids (552) y Phthalates (606MS) •« ; I ,PH1y.y. , .2 '. X - ... . _ Other Pesticides (SMI 8/6630) _UCMRUst1 III _MtBE Only (524)

is RADIOCHEMICAL ANALYSIS _Radon ■

_ Other _ _____________ _____

INORGANIC ANALYSIS REQUESTED - Lab#: Bt- 2' 1^'? ''Color-'' _ Acidity ; ; _J/<fyminum /- Potassium _Turbidlty Alkalinity _iH<tlmony Y,J^enlum Y I •v ■;

_ Bromide _fcA^enic ZZSwer _ Conductivity __ Bromate/Chlorate/Chiorito .^/^arium \Y-;^ Sodium'/< 2 '■ _ Corrosivity (temp: °C1 — Chloride j^ryllium _'BOD(5day) __ Cyanide __ Boron ; ■ / Vahs^lum ' 2- Carbonaceous BOD (5 day) _ FIuoHde _uCadmium 'Y ''A.4^c'h, ■'■?'''■'(2' V „ &riuble BOD (5 day) _ Hardness, Total as CaCOa __ Calcium, as < 1 Chemical Oxygen Demand _ NIbcgert, Ammonia as N _CaIclumr Ca*a >2 22 2 _ Dissolved Oxygen __ Nitrogen. Nitrate as N , _zj3hromium, 1013^2, l^Metels/CN . ' _ Total Organic Carbon — Nitrogen, Nitrite as N 2_ChpQmium, HeiSVateht ;j:^;Vblatlies;•'/">■ __Total Orgahic Halides _ Nitrogen, Total Kjeldahl as N .>^balt ^^Semt-vtolatiles -^ <Solids, Percent (%) __Solids, Settleable , __ Oil and Grease Pheriol 2 • J^^opper _‘ff?on -t.^Pesticides/PCB's

ICLE __ Solids, Suspended Phosphorus Total as P , (Jjaad „TGLP-Meta!s __ Solids, Total ■ ■ ___ Phosphorus, Ortho as P _ Magnesium ^/Solids,-fotal Dissolved _:,TCLP-Pe^<ild^ __ Sulfates _iJ#ranganese '■ 'B-' Surfactants _^ercury __TCLP-Herblcldeei „ TCLP-Volatiles _ UV254 .JHWbdenum _TCLP-SN^s - 'i'fe 'B : ..:r ; _.&*Wckel

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