Chain of Custody Record, Sample AE06423, March 2002

NYC 9/11 Public Portal Document

WESTCHESTER COUNTY LABORATORIES AnS^ESEARCH 2 Daha Road, Valhalla, New York 10595 1'' (914)231-1620 Fax (914) 231-1772 "L ' iP Time/Date Set;

iX T.Potable iX^ 3.Non Potable Treated -y-;Bottle

Non Potable 4. Other Chain of Cust^y? Yes No Tlrrtefl^ateConected: '.' Comments: _______________________ J Collected By:, ■ ft Sw’T■ Agency Code: PWS #: Source ID:______ iType De^riptor" ■■■ - Collected From: """ ' ■ ' Bill.'to: ■. ;, ■ Location's/Individual’s Name Street _____ ' ■ .: Name/Company Street ■ ' ______________ ___ ■ I CIty/St/Zip AH lOT^lF' ■' ■' Clty/St/Zlp_______ I_________________ -5^;

': Identification' of Source _ ______________________________ Phone#: y ''' ' ■ '■■■'• 'Rbdlfe'y / Collection Point . .. ...... . ....................... ......... _ | qa ch, Bl? y ........ MI Amounts^

SACTERIOLOGICAL ANALYSIS Lab#: Lab#: ____________ Si/"/-’/ ' .^-/'///'/'' ORGANIC POTABLE ANALYSIS (gGANIC NONPOTABLE/SOLID ANALYSIB X_ Heterotrophic Plate Count _Tjj3alomethanes (524) ' (hemodialysis & all others) Purgeable Halocarbons (624/8260) ' ' JS'^tile Halocarbons (524) _|. PurgeabIe Ardma«c» (624/8260XYa^'/?iB® __ Coliform P/A (Public supplies) __ Coliform MPN (privwsll, raw.stp) __ Fecal Coliform (all samples) __ Microscopic _l!*wlatile Aromatics (524) __ Total Trihalpmethane Potential (510) __ Microextractables (504) _ Pesticldes/PCB screen (508) _> Acioteln & Acrylonitrile (8260) _j Organochiorine Pesttcides (608/8081) . .■ 4 PCB's(Arochlors) (608/8081) 4/iHerbicidss,(SM18/6630,815T)'i;Y5''/;i ’/OW' s _ Macroscopic _AP1 __ PCB as Decachloroblphenyl (508A) 4/Other Pesticides (SMI 8/6630) , ' Other: ___________ _ Herbicides (515) ; c ? Petroleum Hydrocarbon Scan (310-13) . _ Pesticides (525) 4 Glycols irr Water Refrigerated? ___ yes __ no __ Carbamate Pesticides (531) WAcid E^actables (625/8270) Chlorinated:? yes no _ Glyphosate (547)5 * _£/apse Neutral Extractables (625/8270^/ W' _Dlquat (549) _®^C/MS Unknown Scan; 'Free Chlorine Res;^ mg/L Total Chlorine Res: PHL... ■ . mg/L __ Chlorination Disinfection Byproducts (551) _Hal6acetic Acids (552) _ Other Pesticides (SMI 8/6630) .I Pf^etat^ (6Q8MS) ’• '? 'J _UCMRLIst1 '<3 RADIOCHEMICAL ANALYSIS Radon __ Other __________ _MtBE Only (524) tai INORGANIC ANALYSIS REQUESTED - Lab#: „ .^"'Color T _ Turbidity _ Acidity / _ All«llnity‘ ' ' iminum _te>i<(ntimony f '2- Potassium ; • .jrf^lenium — pH Conductivity _ Bromide _ Bromate/Chlorate/Chlorite _j>(r§anic Z^aSrium _2^ver I __ Corrosivity (temp:___®C) _ BOD (5 day) \ __ Chloride _ Cyanide _^,^eryllium i 4tf*niallium _ Carbonaceous BOD (5 day) _ Soluble BOD (5 day) _ Fluoride __ Hardness, Total as CaCOs _bfCadmium Calcium, as IW3-: ; sW Y; - s _ Chemical Oxygen Demand _ Nitrogen, Ammonia as N _^lclum, Ca+2 ■i _ Dissoived Oxygen __ Nitrogen, Nitrate as N _i!?dnromlum, TotaL; .? ii^Metals/CN < Total Organio Carbon _ Nitrogen, Nitrite as N _ Chromium, HexPvalent l^SefniJ^oldtiles _ Total Organic Halides _ Nitrogen, Total Kjeldahl as N , _fcfC6balt ^ Pestici^s(PCB’s ■?)/ ; Solids, Pj^rcent (%) „ On and Grease _4»0epper Solids. Settleable Phenol/;.': .L "iAe<^n.; >1. _Solids, Suspended ; TCLP . _ Phosphorus Totai as P _^,,kea'd _ Phosphorus, Ortho as p _ Magnesium _TCLP-Metals __ Solids, Ibtel

f _ Solids, Total Dissolved . Sulfates - j^anganese _TCLP-Pesticides Surfactants .W«tercury _TCLP-Herblcides _ TCLP-Volatiles^ T UV254 r _fcM31ybdenum V'^L^^kel- _ TC1J’^ . a NYC-WTC_000075325