Chain of custody record, Sample AE06449, March 2002

NYC 9/11 Public Portal Document

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ktt ACCn. ENVIRONMENTAL SERVICES SAMPLE SUBMlO>N F0ftM .1' WESTCHESTER COUNTY LABORATORIES AND RESEARCH 4 1 r " ’ ■ ■ 2 Dana Road, Valhalla, New York 10595 S h is sMI i X

Time/Date Set: ‘ I ’** Form A-70(rBV.10/01)

Simple Type (drcleone); potable 3. Non Potable Tr6ate(l Bottle #’s:_________________ J________________________ Chain of Custody? ___ Yes__ No Comments; 1 Collected By: 1 Agency Code:--------------- - PWS #: ---------- Source ID:Type Descriptor: CollectedFrom:V ' ’ *''Loc^on’s/l^idlvlduafsName,,y4£2^sName/Company

c 'Clty/StZ2lo I ofSourfe Clty/SVZlp_ ’ Phone#: FaX#: - V •

I 1 BACTERIOLOGICAL analysis Lab#;____________ Li__ OB L- a ORGANIC POTABLE ANALYSIS organicnonpotable/solidanalysis I„ -saasaxsasr i -SSSSRi^affw __Trlhalomethanes (524) _ Volatile Halocarbons (524) __ Volatile Aromatics (524) _ Total Trihalomefriane Potentlal (510) _ Purgeable Halocarbons (624/8260) ,

. __ Organochlorine Pesticides (608/8081) - . 3 r Fecal Coliform (all samples) __ Microextractables (504) _ PCB'8 (Arochlors) (608/8081) ■ ' iX Microscopic Macroscopic ‘ '* _ Pesticldes/PCB screen (508) __ Herbicides (SM18/6630,8151) ' ' 1 I _ PCB as Decachlorobiphenyl (508A) _ Other Pesticides (SM18/6630)

I 4s. Other: _ _______________; Refrigerated?___ yes___ no _ Herbicides (515) ’ _ Pesticides (625) _ Carbamate Pesticides (531) ? __ Petroleum Hydrocarbon Scan (310-13) _ Glycols In Water Acid Extractal^les (625/8270) 4 I ^torinated:?yes___ no F^ Chlorine Res:_______ mg/L _ Glyphosate {547) _Diqtf'at. (549) _SiX5C/MS Unknown Scan (625/8270) I I ;1W'Chldilneil^; XB-X. mg/L _ Chlorination Disinfection Byproducts (551) ,4.HaldaceticAdds,(552) _ Other Pesticides (SM18/6530) : i? ’“ __ Phthalates (608MS) __ Other___________________ ZZ 1 RADIOCHEMICAL analysis” ■^MtBE Only (524) -v; .f i__Radon J _ Other _ _________________ ilNORGANIC ANALYSISREQUESTED - Lab#: ________ JI n {

pH . __ Conductivity J z, '‘i i ^ Acidity

__ Bromide y

__ Bromate/Chlorate/Chlorlte ' “ ^.Barium iminum :lmony ’W T_jote8slute 1 __ Corrosivity (temp: °C) _ Chloride jZ-Beryllium ^/Thallium /_;.BpD'(5iday^:-:<?, Cyanide' _ Boron i" _ Vanadium . I __ Carbonaceous BOD (5 day) _ Soluble BOD (6 day) _ Fluoride . _ Hardness, Total as CaCOs _Cadmlum _2 C^um, as CaCOa . / i, ■ 4

„ Chemical Oxygen Demand __ Nitrogen, Ammonia as N _ Caelum, Ca*2Y __ DisSpIv^ Cb^en ? _ Nitrogen, filtrate as N ^!s«^hromium, Total ’ :^Metals/CN __ Total Organic Carbon __ volatiles __ Nitrogen, Nitrite as N iromlum, Hexavalent _Y Total Organic Halides __ Seml-violatiles ^ __ Nitrogen, Total Kjeldahl as N •batt _L Solids, Perc8nt X%). ■ ...PesScides/PCB'si-^i Oli and Grease ' T , , Pt»er' . •-’i: • ?,’■ ■ ■ • .

__ Solids; settie^e 7 __ Phenol ’: Solids) Suspended __ Phosphorus Total as P Lead __ Solids,-Rrtal ; ; _TCLP-Metal8 ' __ Phosphorus* Ortho as P lum __TCLP-Pestlcides _ Solids, Tbtal Dissolved ' - __ Sulfates J ,..._. janese _ Solids, Total V^afllSy _TCLP-Herblcides _ Surfactants Y __ Mercury _ TCLP-Voiatlles __ UV254 ^Molybdenum _TCLP-BNA’s Alickel

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