Chain of custody record, Sample AE06449, March 2002

NYC 9/11 Public Portal Document

ENVlRONMENlil; ^RN^ES SAiVlPLE SUBMISSION PORM WESTCHESTER COUNTY LABORATORIES AND RESEAR^ 2 Dana Road. Valhalla, New York 10595’; . (914)231-1620 Fax (914) 231-1772 ’ , J »r § SL-'O11 , . NYS-ELAP No. 10108 , TIme/DataSet- -• FormA-7e(rev.l0/01)

r Non Potable '4. Other____________ _ _______ r— . Chain of Custody?—.Yes___ No I Collected By: ' Agency Code;.. . . PWS #: _________ Source ID; x—Type Descriptor: —. 1 Collected From: Bill to: / ' , Location's/lndlvldual’s Name . Name/Company____________ i_____________________ L_ 1 CM^p'—_L____________ — MS;. ________ ’ _ __________ Clty/St/Zlp 1^: ___________________ L- w l i> , Identification of Source_______ ——__________ l—Phone#:------------------------- —L_ Fax#;-------------------_L— , Collection Point------ ........................ ...................... rCAcirBi?7ZZZZZ'ched^ZZZZZZ7^^ ;3

BACTERIOLOGICAL ANALYSIS Lab#:____________________________ SR

g — Heterotrophic Plate Count , ORGANIC POTABLE ANALYSIS ORGANIC NONPDTABLE/SOUD ANALYSIS Si — Coliform P/A(Pub«csuppfM — Coliform MPN (priv well, raw, stp), __Trihalomethanes (524) _ Volatile Halocarbons (524) __ Volatile Aromatics (524) — Purgeable Halocarbons (624/8260) .f ’ I __ Fecal Coliform (all samples) . . __ Total Trfhalomethane Potential (5W) __ Microscopic __ Mlcroextractables (504) •. ILL- SLx'M^ctroscdpfoS;-: __Pesticides/PC8scre8n{508) — Herbicides (SM18/6630.8161) LL'.API>sy.Y-''s;< __ PCS aS Decachtoroblphenyl (508A) — Other Pesticides (SM18/6630) c. :y.Ottieifc'LLiiL; __ Herbicides (515) , - ?.LL ■Pettif^iiWW^^^O*^ _ Pesticides (625) — Glycols in Water ’ .Refrigerated? _ yes_—no Chlorinated:?___ yes —_ no Free Chlorine Res:—____ mg/L „ Carbamate Pesticides (531) _ Glyphosate (547) —Diquat (549) — Add Extractables (626/8270) Base Neutral Extractables (625/8270) f GC/MS Unknown Scan I —Chlorination Disinfection Byproducts (551). — Phthalates (606MS)

V Total Chlorine Res: —_ mg/L — Haloacetic Acids (652) —Other Pesticides (SM18/6630) —UCMRLIstI — Other;—,_________ ;____________ 2 ' a — MtBE Only (524) i ' RADIOCHEMICAL ANALYSIS i ■1__ Radon _ Other_________________ . 1 't;

I INORGANIC ANALYSIS REQUESTED . Lab#: ’ — Color _ Acidity /V Aluminum ?: _ Turbidity j _ Alkalinity ; i/Ar^mony / y. ' .■3jSelpdum ?V; i - pH ''_Brprtilde'AS^ 'Js^AiwtcS/^S ■/JtSilver?':-.';- _ Conduetivlty. < __ Bromate/Chlorate/Chlorlte • ^Barium . : /'Li-S^lutriJ. — Corrosivity (temp.■____°C) ’ —.,BOD'.(5day)®X<? ' ___ Carbonaceous BOD (5 day) ; _ Soluble BOD (S ti^) , _ Chloride j __ Cyanide ^Fluoride, Xi. Hardness, Total as CaCOs _fe*Bwyifiurn __Boron<-''-<, C' _Cadmium J > <

__ Calclurri, as CajsOa :^/Thalliuni ;4 4i i t _ Chemical Oxygen Demand Li Nitrogen, Ammonia as N __ Caldum. Ca^ / :'' Dissolved Oxygen ■ __lVletals/CN __ Nitrogen,Nitrate as N _j£'Chromlum, Total ■ •^Mo^Saiea-i.vXX _ Total Organic Carbon _ Nitregen, Nitrite as N _ Chromium, Hexavalent ; — Total Organic Halides . - _ Nitrogen, Total Kjeldahl as N _£Cobaif. .'Y. <'• Xi Sonil-vtel^iaB^ ? \X1^8tidpe8/f^s Solids, Perc8nt (%) _ Oil and Grease JifCo^per-' i — SoltdSiiSiettieabie^r __ Phenol ji lron ', ; ! — Solids,Suspended j<Lea<J.' .■ •• VY "./■■' TCLP __ Phosphorus Total as P r — Solids. Total _TCLP-Metals __ Phosphorus, Ortho as P __ Magnesium;?- __TCLP-Pestlcides f '— Solids, Total Dissolved __ Sutfetes _i/Manganese . L- Solktei Total Volatile _TCLP-Herbicldes _L. Suiftictants .^Mercury j^'Molybd^um _ TCLPAfolatlles < : Xi Other: ____L2 _ UV254 _i/Nlckel '*• __TCLP-BNA’s 1 ■y

NYC-WTC_000075366