Chain of custody record, Sample AE06449, March 2002

NYC 9/11 Public Portal Document

. z : /Y'YY; ,; Y/.Y ' ‘'--■/fC/QS' Y- / . . EjWIRONMENT^Kb^i^<i^i^t£'SU9MISSIQNraRM.^.Y^.^ t«*ccek WESTCHESTER COUNTY LABORATORIES AND RESEARCH I - _______ 2 Dana Road, Valhalla, New York 10595 <3 ./Y. ■■ >Yy1;'YY'Y, Yy (914)231-1620 Fax (914)231-1772 •J NYS-ELAP No, 10108-'J Time/Date Set: Form A-70 (rev. 10/01.) -

gle^pe (circle one): . 3. Non Potable Treated 2. Non Potable , 4. Other Chain of Custody?___ Yes----- No J<'-' :W •-■S Tlrnert)ate Collected: Comments:_________________ fc' Collected By; H Agency Code: PWS #: ________ Source ID:Type Descriptor: (-■ . Collected From: Bill to; I ' Location's/Irtdividual’sName......... . ,'■

I City/St/ZIp________ :________________ _______________ , . Name/CompanyJ——

City/St/Zip________ ____________ _ ___________________ I Identification of Source Collection Point----------a----------------------------------------------- Phone#:_________ L__________ Fax#:________________ _ „ Ica ch.bi? Cheek#: , Amount$l s 1 BACTERIOLOGICAL ANALYSIS / Lab#:__________ :_____________ YY;OY.Y.

ORGANIC NONPOTABLE/SOLID ANALYSIS _ Heterotrophic Plate Count , ORGANIC POTABLE ANALYSIS _Tnhalomethanes (524) __ Volatile Halocarbons (524) ' Purgeable Halocarbons (624/8260) __ PurgBable Aromatics (624/8260) , yJ' - i __ Coliform MPN (priv well, raw, stp) _ Fecal Coliform (all samples) Microscopic YY. Macroscxjpic _ Volatile Aromatics (524) _ Total Trihalomethane Potential (510) „ MIcroextractables (504) ?Y- PestIcldes/PCB screen (508) _■ Acrolein & Acrylonitrile (8260) _ Organochforlne Pesticides (608/8081) _ PCB’s (Arochlors) (608/8081) „ Herbicides (SM18/6630,8151) , 1 „PCBasDecachloroblphenyl (508A) _OtherPestiCldes(SM18/e630)- M Other;. f^ftlgerated? ___ yes 2/Y;np/jYY _ Herbicides (515) _ Pesticides (525) _ PeVoleum Hydrocarbon Scan (310-13) ’ _ Glycols In Water I'I „ Carbamate POstlcldBs (531) _ Acid Extractables (825/8270) I ^Chlorinated:? __ j^C__ no Chicane Res;__ ‘__ Glyphosate (547) _Diquat (549) _Chlorination Disinfection Byproducts (551) ' Base Neutral Extractables (625/8270) XGC/MS Unknown Scan ____ ...-Phthalates ._ .................................... (606MS) a , Total Chlorine Res: YY-mg^i /L-Hsloacetic Adds (552) /. Mm;/; Y^dttter Pesticides (SMI8/6630) ■i - '1 A RADKX:HEMICAL ANALOG } \_UCMRL18tt^^^ Y <^MtBE Only (524) ,- Y? .7«j B _Radon -Other V^‘<

4. ia INORGANIC ANALYSIS REQUESTED • Lab#: Qf ; fi .;

__Color ___ Acidity _^AIumlnum ;;'''()^.Pp(toslum ’' /Y Yi .g J- ^Turbidity, fT

Yy Conductivity __ Alkalinity

BrOmato/Chtorate/Chlorlte , ;^tS€|tenIt4n) Y li Z Sliver ■ Y __/S<xilurn-- 'Y'/y \ Afe> •1 ■<4 _ Corrosivlty (temp:_____°C) SS^HIijm Y Z T^allium ‘

: _ BOD (5 day) _ Carbonaceous BOD (6 day) SoIrjWe W-(5 day) / __ Chemical Oxygen Demand ' ;; _ Dissolved Oxcart \^ Cyanide Y _ Fluoricle,.;,;’fA j _ Hardness, Total as CaCOs _ Nitrogen/ Ammonia as N _ Nitrogen, Nitrate as N __ Boron i_Cadmlum • > ■

__ Calcium, as CaCOa __ Calcium, Ca« / Y 2.ChrofT»ium, Total ; a •__Wiadlum ^//.-■.'.^.Zzinc5A-^^.

_Metals/CN J ; Total Organic Carbon • _ TotalOrganlcHalides Nitrogen. Nitrite as N _ Nitrogen, Total Kjeldahl as N __ Chromium, Hexavalent ^Cobalt X^SS^ies ; __ Solids, Percent . (%) _ Pestlcldes/PCB's __ OH and Grease 2. copper • Y _ Solids,Settleable -i _ Phenol • A A' _ Solids, Suspended _ Phosphorus Total as P 2 Lead ;■*?, -f I£L£ _TCLP-Metals I _ Solids. Total -/ 1 ■ Solids, -total Dissolved __ Phosphorus, Ortho as P __ Sulfates' ■ Magnesium Manganese ^4 V _TCLP-PesticldBS ^Mercury _TCLP-Herblcldes __Surfactants __ TCLP-VOlirtlles >' ,■ _ tjy254Y,;./<.; _TCLP-BNA's

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