Chain of Custody Record, Sample AE06423, March 2002

NYC 9/11 Public Portal Document

9.Y.Y Y/^-<■ •r-Y'r ..-■X T '-y •••Y. •3 ^com WESTCHESTER COUNTY LABORATORIES ANO^^S^RCH - 2 Dana Road, Valhalla, New York 10595 y' , > .J Y . ’'-(914) 231-1820. Fax (914) 231-1772 f' ■ NYS-ELAP No. 10108 ‘ ( ■ Time/Data Set:

(circle one): •^1 Y 3. Non Potable Treated ■■■ Bettie 1 2. Non Potable 4. Other ■nme/DateColtected: Comments; j "'Cdilect^'^: • Agency Code: '' 5 PWS'#: Source ID: Type D8ScrIptor:iY | a Location’s/lndlvidual’sName IC.: /.Je______ Name/Company _2/SY—— ■' ''StreetjOt^^l-^^^^^— ■' ■Street____aL__OWBi^^ AS CHy^pLY^Y^YX •'-pry:..; ' —

Identification of Source 9, .. .■;________ Jfo- Phone#:_______ _£Z_ Pod/: Collecflon Point . Q CA,CH, Bt? „ Check#; _^_YYYYYYY®^gY^S

BACTERIOLOGICAL ANALYSIS Lab#: La^___^__— ORGANIC NONPOTABLE/SOLID ANALYSIS'’ ,1 ORGANIC POTABLE ANALYSIS _ Heterotrophic Plate Count _Trihalomethanes (524) __ Purgeable Halo{farborj8T^4^0)?iSiM S (hemodialysis & all others) X Volatile Halocarbons (524) Purgeable Aromatics (624/8260) , , Y .^ Conform P/A (Public supplies) ^yolatile Aromatics (524) __ Coliform MPN (priv well, raw,8tp) Acrolein & Acrylonitrile « _ _Fecal Coliform (all samples) __ Total Trihalomethane Potential (510) iaf Orgariochforine Pesticidea Tegs^bSI) Microscopic Microextraotables (504) W PCB'S (Arochlors) (608/8081) __ Pesticides/PCB screen (508) Y;.Herbicldes(SM18/6630,8151) _ Macroscopic — API Other; _______________ _ PCB as Decachlorobiphenyi (508A) Herbicides (515) Other Pesticides (SM18/6630) petroleuni H^rocarbon Scan (310-13) Ifl Refrigerated?___.yes Chlorinated:? yes no ■R^be Chlorine Res: no

mg/L _ Pesticides (525) __ Carbamate Pesticides (531)' _ Glyphosate (547) __ Diquat (549) ’<^1^In Water:? Acid Extractables (625/8270) >/BaSe Neutral Extractables (625/8270) wa SGC/MS;uhknoivn^Scan;^:YY£/Y:YYfeY<^ I __ Chlorination Disinfection Byproducts (551) Phthalates (608MS) ............................................................................................................................................... ' ■ S’ Toto Chlorine Res: mg/L _ HaloacetIc Acids (552) Jigf' Other^Li^ _ Other Pesticides (SM18/6830) ___ _UCMRLi8t1 — RADIOCHEMICAL ANALYSIS _MtBE Only (524) Yig

__Jtodon;' v ’T*—* ■'YY. _ Other ___________________

< INORGANIC ANALYSIS REQUESTED > Lab#:. Color V _ Acidity 2- ^Aluminum W/.- Pofasslum / ’fi turbidity —/'pH. ^Alkalinity _^Antimony j^Selenium Y’® __ Bromide jg^Arsenic ^-Silver __ Conductivity _ Bromate/Chlorate/Chiorite Barium ^rSodlum ..Y I Corrosivity (temp:. ’C) _ Chloride Seryllium _^hailium, < YyW® 1 _ BOD (5 day) __ Cyanide —Boron t^K^wiadluihY ■2^nc , _ Carbonaceous BOD (5 day) Soluble BOD (5 day) _ Fluoride __ Hardness, Total as CaCOa _ '^Cadmium - __ Calcium, as CaCOs I- -iL. 1 ■ feLI^ YY Chemical Oxygen Demand Y$ Dissolved Oxygen / _ Nitrogen,. Ammonia as N _ Nibogeh, Nitrate as N _ Calcium, Ca^ W V Y ^Chromium, Total; . Sl_ M8taIs/C^ ; _Volatiles i :9S® _ Total Organic Carbon __ Nitrogen, Nitrite as N __ Chromium, Hexavalent Y_ Total Organic Halides __ Nitrogen, Total Kjeldahl as N ^ Cobalt __Semi-violatlles , _ Pesticides/PCB’s 1 Solids, Percent (%) __ Oil and Grease Copper .^Solids, Settleable _ Phenol Iron tCLP I _ Solids, Suspended Solids Total Solids, Totai Dissolved _ Phosphorus Total as P _ Phosphorus, Ortho as P __ Sulfates Magnesium Manganese IrTCLP-Metals ? —TCLP-PeMiddes : T

__TCLP-Hert)icides / i _ Solids. Total Vplatite __ Surfactants iercury ^"^^Othen' ' -./ _ TCLP-Volatiles Molytxl^um _TCLP-BNAs - ■f ickel ,

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