Chain of Custody Record, Sample AE06423, March 2002

NYC 9/11 Public Portal Document

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2. htorjPotebte 4. Other ; Ch^rtdf Custody? Yds No Tlme/Date Collected: __M-£ ________________ /Collected By: /^ency Code: _______ Source ID: Type Descriptor . Collected From; Locetlon’^lndlvldual's Name Name/Company SliiiaS t Y--' Identificatton of Source ■ • Street ____ City«t/Zip__^ Phone#:-—. ___ - I F Collection Point C. W CA,CH, Bl? _Y^Check#: Y Y/Amounts Pi-:-.----—

I-' BACTERIOLOGICAL ANALYSIS Lab#: Lab#: . = . YY,,'■■Y

I _Y Heterotrophic Plate Count (hemodialysis & all others) ORGANIC POTABLE ANALYSIS __ Trih^methanes (524) ORGANIC NONPOTABLE/SOLID ANALYSIS 4 „ Purgeabte HalocarbonsI

t __ Coliform P/A (Public supplies) Halocarbons (524) __ Purg8abIe Aromatics (6?4/826O} Y ,/Y | r^rfdlaSle Aromatics (524) _i Coliform MPN (priv well, raw, stp) il^jAoilqlBj^ A<?yto^ 1’ _ Fecal Coliform (ail samples) _Total Trihalomethane PotenUal (510) __ Organochlorine Pesticldps (608/8081)' . __ Microscopic :_ Microextractables (504) _Y./PCB's(Arochlors) (608/8081) , __ Macroscopic __ Pestlcidas/PCB screen (508) Y. Herbicides (SM18/66^,8151) U __ PCB as Decachlorobiphenyi (508A) < Y_ Other Pestiddes ■;^IVft 8/8630)?, I Y- API , Other: _ _________ _______ _ Herbicides (515) YY'Pebt>feurn Hydrocarbon Scan (310-13) Y?', ■ _Pe^cides (525) ■ W/GIycMwWeter-Y ’ • ■/ « Refrigerated? yes no _ Carbamate Pesticides (531) MAclrf Sdractables; (625/8270)YY/Y;3§af I Chlorinated:?yes no _ Glyphosate (547) jj^Sese Neutral Extractables (625/8270) Y, ■ _ Diquat (549) JY,6C/MS Unknown Scan ' • Free Chlorine Res:______ _mg/L __ Chlorination Disinfection Byproducts (551) __ Phthalates(606MS) - Tefal Chlorine R^~ mg/L _Haloacetic Acids (552) YYQteer:_:£YLYl--_-YYlYi^^ _ Other Pesticides (SM18/6630) __ _______________ XiYVY pH - - " _UCMRUst1 RADiOCHEMiCAL ANALYSis^ /Radon _MtBE Only (524) -YZYZZZZZZZZys^' -- Other __________

t INORGANIC ANALYSIS REQUESTED - Lab#: il;iColor X=Turbidi^/^^- ' __ Aridity _ Alkalinity VY; . _S#Wuminum ? /^Potassium .^^elenium - EY^Y Y. ..Y^

I ^:pH7rYYY/ Y_ Conductivity _ Corrosivity (temp:____ “C) _ BOD (5 day) Bromide __ Bromata/Chlorate/Chlorlte _Chloride __ Cyanide tifwsenlc □rf«Barium _4,j3eryllium __;Boron Y'\'-

; < \ ' ' Yt^alllum YYYiYSsO^ | ; _ Vanadium ' , \v _ Carbortaceous BOD (5 day) _ Fluoride _|^’dmlum Soluble BOD (5 day) __ Hardness, Total as CaCOs __ Calcium, asCaCOs __ Chemical Oxygen Demand __ Nitrogen, Ammonia as N _ Calcium, Ca« ' - ■ - fiLE < _^Metel8/CN Yy:y-“:y^^-Y _Dissolved Oxygen _ Nitrogen, Nitrate as N _j^hromium. Total Z Volatiles : __ Total Organic Carbon __ Nitrogen, Nitrite as N Chromium. Hexavalent Total Organic Halides __ Solids^ Percent (Yo) _ Nitrogen, Total Kjeldahl as N .^^obalt _ Oil and Grease _t^pper — zpSSwSS&h ' Soilds, Settleable _ Phenol _ Solids, Suspended __Phosphorus Total as p - ■ TCLP-Metals ■ Y. ’ __ Soilds, Total _ Solids, Total Dissolved __ Phosphorus, Ortho as P ^ Sulfates Y ; j^jl^slagneslum j^nganese ESSSSSSegS Solids, Total Wattle ■ _4>th-er: Y " -Y:. •,.... ^Surfactants UV254 ZXWercury i^/fJIolybdenum “XAHckel "" . zKssas i-iYiiJfYrY&ttYaj&iaSSKi —! NYC-WTC_000075329