Chain of custody record, Sample AE06449, March 2002

NYC 9/11 Public Portal Document

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^coqi aSS3S»S8S!SSSSiS. ..... . 2 Dana Road, Valhalla. New York 10595 ' J . § (^4)231-16^ (914) 231-1772 , T!me/Date Set:____________________________ *________________ 0.

YY' Y' *?■ /l^tablB 3. Non Potable Treated Bottle ----------------- ^*l^Non Potable 4. Other Chain of Custody?__ Yes___ No Ys

Tlme/Date Collected; Comments:_______;_____ ;------------- ;------------------- ,---------- L' Collected Sy: Agency Code: PWS #: Source ID:Type Descripton Collected From; SHI to:

-3 ij5 City/St/Zip ________ _ ________________________ City/St/Zip___________________ ’ :~ , ■ , Identification of Source Phone#;Fax#: —,—;— 's*' ■i

f C6Hectlon.Polnt---------- --------------------------------------------------- I CA.CH. Bl? - theok#: / 1 j'

s Lab#:_________________________ I BACTERIOLOGICAL ANALYSIS Lab#:__„________________ iS' _ Heterotrophic Plate Count ORGANIC POTABLE ANALYSIS _Trihaiomethane8 (524) 1 t^GANlCNONpOTABLE/SOUpANAWSIS _ Purgeable l^locarljons (624W260) * 'Yi 3 (hemodialysis & all others) __ Volatile Halocarbons (524) . , sj I ............................. ■

__ Coliform MPN (priv well, raw. stp) __ Volatile Aromatics (524) __ Fecal Coliform (all samples) _ Total Trihalomethane Potential (510) __ Microscopic __ Mlcroextractables (504) Pesticides/PCB screen (508) _ Herbicides (SM18/6630.8151) ' % __ Macroscopic — API __ PCB as Decachlorobiphenyl (5OJ; _ Herbicides (515) , _ Other Pesticides (SM18/6630) ; _ Petroleum Hydrocarbon Scan, (310-13) , ■i _ Other:_______ ___________

I Refrigerated?_ 1. yes___ no _ Pesticides (625); _ CarbamatePesticides ’ (531) _ AcldExtractables (625W0) B^ Neutral Extractables (625/8270),. . '1 f I Free Chlorine Res:.______ mg/L ChloritralBd:? 1'yesY^ -rY _ Glyphosate (547) Diquat (549) Unknown Scan

Total Chlorine Res:mg/L !>' pH_______ — . Y^Chtortnation Disinfection Byproducts (551) _Haloacetic Acids (552) * X;.OtherJWacles (SM18/^3O) _UCMRLIst1 _ phtiidlaies (606MS) _ Other_____________ ___________

WIlit 1 H RADIOCHEMICAL ANALYSIS .l.MtB6 Only (524) ' - ,• r\jT ‘__ Radon Other ;■!

—WBt— 1 pNORGANic'ANAD^^ — Color _ Acidity yj^uminum ; -■Y >5?;

_Potasslum i — Turbidity _ Alkalinity ZX^rsenlc^ Y' ■1 .Z; Con^ « ; __ Corroslvity (temp:____°C) _* Bromate/Chiorate/Chlorite _ Chloride; < _j^<Beryllium ; - ■^■^lurn/ Y-';/;..: Y, Ji*‘nial|lurn’; 1 R

Carbonaceous SOD (5 day) ■ _ SolubleBOD (5 day)/. , _ Cyanide Y __ Fluoride _ Hardness, Total as CaCOs __ Boron __ Cadmiurn : H'; _ _Caldurn, as 0^03 __^^dlurn ' s Chernlcal Oxygen Demand ' _ Dissolved di^gen > __ Nitrogen, Ammonia as N _ Nitrogen, Nitrate as N _^lciunri, Ca«il; Y Y .^^^tfhnorniurn, Tbteti , llMetals/CN. ’ L_ Volatiles s _ Total Organic Carbon __ Total ' OrganIc Halides;: ' * 1 .................... _ Solids, Percent (%). • •

Y 1_ Nitrogen. Nitrite as N -__ Chromium, Hexavalent _ Nitrogen, Total Kjeldahl as N .^rgpbatt ___ Oil and Grease >Copper _ ____ .yY/I'Y**;' ___ Seml-vlolatlles l_P0stiddee/PCR’s s _ Solids, Settleable ' ,/ ' _ Phenol Y; y^op ___Soltdi Suspended _ Phosphorus Totai as P _yCead _TCLP-Metals A _ Solids. Total »- _ Phosphorus, Ortho as P __ M^neslum _TCLP-Pe8tlcides Y _ Solids. Total Dlssolved __ Sulfates ^ganese ^ TGLP-H0rbicides / _lBolidSi Total VblaBle __ Surfactants _ UV254 _ TCLP-Volatiles __TCLP-BNAs I NYC-WTC_000075368