Chain of Custody Record, Sample AE06423, March 2002

NYC 9/11 Public Portal Document

IBI^ISSSSbb^-'^^ ENVIRONMENTAL SERVICES SAMPLE SUBN WESTCHESTER COUNTY LABORATORIES AN _

f ' VI -y • V . \Tlnie/Date rB-;.Y •/•I. .,. Set: I;.',', ■ ! ■ y

SampleType(circle one); oteble : 3. Non Potable Treated Bottle #'s; Ion Potable 4, Other '*lTme/DateCollectedy_^_ Comments: I , jdqlte^ed By: Agency Code/U PWS #___________Source ID; Type Descriptor ,. s

I BColtectedFromt Locatlon’s/lndividual’s Name ' MBrne^C6fnp«myL_,-iiiV^i£^^^ B?BB? YStreet; ■ ■' B . ~ Yq I Clty/St^lip _______ identification of Source f»«»«:ZZZ3EZS£^S5^H^m| -sS* s Golletttion Point _B.^_____ CA.CH, Bl?

f' BACTERIOLOGICAL ANALYSIS Lab#: I' Bl B " ' •' ORGANIC POTABLE B_ Heterotrophic Plate Count _Trihalomethanes (524) (hemodialysis & all others) _ Coliform P/A (Public supplies) _ Volatile Halocarbons (524) B-, Coliform MPN (priv woB. raw, stp) _ Volatile Aromatics (524) a B y Fecal Coliform (all samples) __ Total Trihalomethane Potential (510) : i,B:''Ch^nochigHr^.;pS8te^ | _ Microscopic __ Microextractables (504) _ PCB's (Arochlors) (608/8081)” ' ’f \ JT Macroscopic _ Pesticides/PCB screen (508) _ Herbicides (SM18/6630,8151}, , / /;; ?B-APi'‘- __ PCB as Decachlorobiphenyl (508A) _ Other Pesticides {SM18/6630) Y j

I :B-Other_ __________ ■ —— __ Herbicides (515) _Pe8lcides (525) -5SSS?B?K«- s ; Refrigerated?yes no __ Carbamate Pesticides (531) * _ Glyphosate (547) ■2_.'Add Extractabies; (S25/8270r\B^-| U^^

I Chlorinated:? yes no Free Chlorine Res;mg/L __ Diquat (549) __ Chlorination Disinfection Byproducts (551) iRjtel Chlorine Res: ______ _mg/L _ Haloacetic Acids (552) 1/ se ipH;b;.. __ _ Other Pesticides (SMI8/6630) _UCMRLi8t1 RADIOCHEMICAL ANALYSIS _MtBE Only (524) B-Radon _ Other ___________

I i?' INORGANIC ANALYSIS REQUESTED • Lab#; BBycolor ■' BB Turbidity ~ Acidity " __ Alkalinity Aluminum, _ Arrtirhchy y-. -i'

Be pH ; . _ Bromide • __Arsenic Conductivity _ Bromate/Chlorate/Chlorite ^Barium V_ Corrosivity, (temp:_____’C) __ Chloride __ Beryllium iB-BOD (5 day) __ Cyanide ; __ Boron •' I I V_ Carbonaceous BOD (5 day) BB Soluble BOD (5 day) _ Fluoride Hardness, Total as CaCOs _C8dmlum • / f; __ Galclum, as CaCOa • VB. Chemical Oxygen Demand _ Nltrogen. Ammonia as N __Caiclurn. Ca** B:- \ B— Dissolved Oxygen _ Nitrogen, Nitrate as N __ Chromium, Total Y- iri; •B- Totel Organic Carbon _ Nitrogen, Nitrite as N Chromiurri^ Hexavalent _ Total Organic Halides _ Nitrogen. Total Kjeldahl as N _GobaltiY/‘■“By „Pesticides/PCB's-<B<B:| iB-Solids. Percent (%) Oil arid Grease _Cqpper I: BE Solids. Settieable _ Phenol Y B_ Solids. Suspended __ Phosphorus Total as P __LeadBB YyB ■ i_ Solids. Total y __ Phosphorus, Ortho as P Magnesfem VBl’ Solids. Total Dissolved _ Sulfetes ; __ Manganese y

S11 Solids, Total Volatile Bb■ -other: < ■. . .. ’ __ Surtactants _ UV254 \ _i. Mercury ; / _ Molybdenum _ Nickel ■

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