Chain of Custody Record, Sample AE06423, March 2002

NYC 9/11 Public Portal Document

.S ,

......... . ENVIRONMENTAL SERVICES SAMPLE SUBMISSlf " WESTCHESTER COUNTY LABORATORIES ANDRI .2 Dana Road, Valhalla, New York 10595 (914) 231-1620 Fax (914) 231-1772 isfSM IV^LAP No. 101Q8..«.J ""Tlme/Date Set: ^A-70(rev.10/01)

Sample! (drde one): ■^Potabh •" / if i 3. Non Potable Treated ’ r * J ' J Potable ■" '4; other ' Chata'ofOustody?JL:YlB8'—^,^d. Tlirie/DateCollected^ Comments;— Collected By: Agency Code: PWS fri ^Source Ipt Collected From: Y Bill to: Locatton’s/lndlvldual’s Name Name/Company >Street^j4_XU^STis^Ou__Qsii::^^ • Street ____ : -city/s^.:-. Identtflcaflon of Source ■ Phone#: ■ —a-- '\ . Collec^n Point CgFF Check#; - Amounts - £

BACTERIOLOGICAL ANALYSIS Lab#:————J.______ _______ _____ Lab#:__—_ _____________ _ ; •r ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS : , — Heterotrophic Plate Count _ .Trjhalomethanes (524) __ Purgeable Halocarbons (624/8260) . (hemodialysis & an others) _^'%latile Halocarbons (524) — nurgoourio Arbrn^/(«S2WB0)^Yjf Purgeable /vaipauca, |O4®i/O4cwU7 :- | — Coliform P/A (Public supplies) _4*^latlle Aromatics (524) — Coliform MPN (priv well, raw, stp) __ Acrolein & Acrylonitrile (8260) _4, Fecal Coliform (all samples) — Total Trihalomethane Potential (510) — Organochlorine Pesticldes(608/8081) '’’1 Microscopic — Microextractables (504) — PCB's (Arochlors) (608/8081) ss — Macroscopic' __ Pestlcides/PCB screen (508) — Herbicides (SM18/6830,8151) — PCB as Decachlorobiphenyl (508A) — Other Pesticides (SM18/6630) ‘ - API Other: — — Herbicidos (515) — Pesticides (525) — Petroleum Hydrocarbon Scan (310-13) J..;®yqois1rTMteter ' - '1 Refrigerated?__ _ yes no _ Carbamate Pesticides (531) • Extractebies- (625/827Q)-1=:1</^<B?OW^ Chlorinated;? _ yes __ no — Glyphosate (547) Base Neutral Extractables (625/8270) —' -Diquat (549) JLieOMiS Unknown Stan ’ ' '• ■rt' :.u .-i .• • ’B Free Chlorine Res:. n^g/b __ Chlorination Disinfection Byproducts (551) Y^/Phthalates (606MS> • / Total Chlorine Res: pH - mg/L — Haloacetic Acids (552) —Other Pesticides (SMI 8/6630) —UCMRListI other:. Ba RADIOCHEMICAL ANALYSIS — MtBE Only (524) —Radon —Other 44 INORGANIC ANALYSIS REQUESTED > Lab#; ;Color /' ;. ■ Acidity ■? ■ Jl^lMminum • ^Pb^ulTi/- ■ i I I Turbidity . Alkalinity —‘^timony j^rSelenium >;~-;pH;2y-'-yy-.- Bromide -Wenlc — Conductivity Bromata/Chlorate/Chlorlte _^iBarium /■’;/Y,■ __ Sodium — CorTOslvlty(temp:.____ “C) — Chloride , _4,^ryllium //.Urf^ThatliMm — BOD{5dey) Y_j Carbonaceous BOD (5 day) __ Cyanide _ Fluoride — Hardness, Total as CaCOa -. ... —Boron _d2admium "/.'■■s/'/ *? .. > _ Vanadium _<^c I ^ Soluble BOD (6 day) — Calcium, as CaCOs f ■■ — Chemical Oxygen Demand — Dissolved Oxygen: — Total Organic Carbon __.i Total Organic Halides _ Nitrogen, Ammonia as N _ Nitrogen, Nitrate as N _ Nitrogen, Nitrite as N _ Nitrogen, Total Kjeldahl as N — Calcium, Ca*2 _^hromium. Total . — Chromium, Hexavalent — Metals/CN ' — Volatiles — Seml-violatlles I -Pesticldes/PCB's Solids, Percent (%) OH arid Grease -l^Per Solid8,:Settleable 2 _ Phenol .‘._js4fbn , Sonds, Susl»nded — Phosphorus Total as P ICLE — Solids, Ibtal < — Phosphorus, Ortho as P ; __ Magnesium C < ■ / ■—TCLP-PesticideSh^^^ — Solids, Total Dissolved — Sulfates . ■' _JiMSngane8e' Y 1 ■'.> r —■:Sollde,‘fotal\^e __ Surfeotants . uXarcury , ' ,Y;Y,yY;'Y —TCLP^jg^BBpl — UV254 _JrWK^bdftiun / ? < ' / _(y^lckel -•■ ■■ ' Sy Y:-. /VY-

NYC-WTC_000075328