letter to mr. adly michael, us epa region 2, from mr .... adly michael us epa region 2 ......
TRANSCRIPT
SDMS Document
111421
125 Maiden Lane, 5th Floor
New York, New York 10038
tel: 212 785-9123
fax: 212 785-6114
July 26, 2006
Mr. Adly Michael US EPA Region 2 MS215 2890 Woodbridge Ave Edison, New Jersey 08837
PROJECT: RAC Region II, EPA Contract No.: 68-W-98-210 Work Assignment No.: 3223-146-RICO-02PE
DOCUMENT NO.: 3223-146-FD-TRIP-06251
SUBJECT: Sampling Trip Report for RAS Case Number 35508 Old Roosevelt Field Groundwater Contamination Site Groundwater Sampling Event - Round Two
Dear Mr. Michael:
Please find enclosed the Sampling Trip Report, including the original CLP paperwork, for Round Two of groundwater samples and associated quality control samples collected at Old Roosevelt Field Groundwater Contamination Site in Garden City, New York. If you have any questions, please contact me at (732) 225-7000 or Ms. Jeniffer Oxford at (212) 785-9123.
Sincerely,
CDM FEDERAL PROGRAMS CORPORATION
/ • , • / ' ' • • • / / - ; '
Scott Kirchner RAC II Analytical Services Coordinator
Enclosures
cc: Caroline K^A'ari; EPA Susan Schofield, CDM Lisa Campbell, CDM Jeniffer Oxford, CDM Document Control
3 0 0 0 6 6 consulving -eng ineer ing • const ruct ion • opers l ionE
SAMPLING TRIP REPORT CASE NO.35508
July 21, 2006
OLD ROOSEVELT FIELD GROUNDWATER CONTAMINATION SITE GARDEN CITY, NEW YORK
Prepared by CDM Federal Programs Corporation
125 Maiden Lane 5* Floor New York, New York 10038
Prepared for
U.S. ENVIRONMENTAL PROTECTION AGENCY, REGION II 290 Broadway
New York, New York, 10007-1866
EPA Work Assignment No. EPA Region Contract No. CDM Federal Programs Corporation Document No. Site Manager Telephone Number EPA Remedial Project Manager Telephone Number Date Prepared
146-RICO-02PE II
68-W-98-210
3223-146-FD-TRIP-06251 Susan Schofield (203)262-6633 Caroline Kwan (212) 637-4275 July 21, 2006
300067 i
Sampling Trip Report Old Roosevelt Field Groundwater Contamination Site
CLP Case No.: 35508 Sampling Dates: July 10, 2006 - July 20, 2006
1. Site Location: Garden City, New York
2. Sample Description:
CDM FEDERAL PROGRAMS CORPORATION (CDM) collected a total of 97aqueous samples analyzed for Low Detection Limit Volatile Organic Compounds (LDL VOCs), 29 aqueous samples analyzed for Target Compound List Semi-Volatile Organic Compounds, Pesticides and Polychlorinated biphenyls (TCL SVOCs, Pesticides and PCBs), and 29 aqueous samples analyzed for Target Analyte List Metals, Mercury and Cyanide (TAL Metals, Mercury, and Cyanide). Please note that in addition to ICP-AES metal analysis^ ICP-MS was requested for antimony, arsenic, beryllium, cadmium, selenium, thallium and zinc. The samples were collected at the Old Roosevelt Field Groundwater Contamination Site during Round 2 of groundwater sampling.
3. Laboratory receiving samples:
Organics A4 Scientific 1544 Sawdust Road Suite 505 The Woodlands, TX 77380
Inorganics Liberty Analytical 501 Madison Ave Gary, NC 27513
4. Sample Dispatch Data:
CDM shipped samples via Federal Express. Information on sample numbers, control samples, and shipment dates is provided on Tables 1 and 2. Copies of the organic and inorganic chain of custody records are provided in Attachments I and II respectively.
5. Sampling Personnel:
Ms. Melissa Koberle, Mr. Adrian Steinhauff, Mr. Dusdn Grzenik and Mr. Jonathan Lee were responsible for collecting the samples.
3 0 0 0 6 8
TABLES 1 AND 2
TABLE OF SIM AND ICP-MS REQUESTED ANALYSIS
3 0 0 0 6 9
Table 1 Case Number: 35508
LDL VOCs, TCL SVOCs, Pesticides, and A4 Scientific
July 10, 2006 - July 20,2006
PCBs
CLP Sample ID
B3QZ1
B3Q22
B3QX9
B3QY0
B3QY1
B3QY3
B3QY5
B3QY6
B3QZ3
B3QZ4
B3QZ5
B3QZ6
B3QY2
B3QY4
B3QY8
B3QW7
B3QW9
B3QX0
B3QX1
B3QX2
B3QZ7
B3QZ8
B3QZ9
CDM Sample Name
FB071006-GP
TB071006
GWP-10-R2
GWP-11-R2
GWP-21-R2
GWX-10020-R2
GWX-8474-R2
GWX-8475-R2
GWX-8068-R2
FB071106-GP
FB071106-MP
TB071106
GWX-10019-R2
GWX-10035-R2
GWX-9966-R2
GWM-07-1-R2
GWM-07-3-R2
GWM-07-4-R2
GWM-07-5-R2
GWM-07-6-R2
FB071206-GP
FB071206-MP
TB071206
Matrix
Field Blank
Trip Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Field Blank
Trip Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Field Blank
Trip Blank
Analysis
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs,
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDLVOCs
Collection/ Shipment Date
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/11/2006
7/11/2006
7/11/2006
. 7/11/2006
7/11/2006
7/11/2006
7/11/2006
7/11/2006
7/11/2006
7/11/2006
7/11/2006
7/12/2006
7/12/2006
7/12/2006
QA/QC
MS/MSD
Duplicate of GWP-11-R2
-
CDM 3 0 0 0 7 0 Page 1 of 5
Table 1 Case Number: 35508
LDL VOCs, TCL SVOCs, Pesticides, and PCBs A4 Scientific
July 10, 2006-July 20, 2006
CLP Sample ID
B3QY9
B3QY7
B3QW8
B3QP6
B3QP8
B3RO0
B3R01
B3QP4
B3QP9
B3QQ0
B3QQ1
B3QQ2
B3QQ3
B3QQ4
B3QQ5
B3QQ6
B3QQ7
B3QQ8
B3QQ9
B3QR1
B3QR2
B3QR3
B3R02
CDM Sample Name
GWX-9973-R2
GWX-9398-R2
GWM-07-2-R2
GWM-01-2-R2
GWM-01-4-R2
FB071306-MP
TB071306
GWM-01-10-R2
GWM-01-5-R2
GWM-01-6-R2
GWM-01-7-R2
GWM-01-8-R2
GWM-01-9-R2
GWM-02-10-R2
GWM-02-1-R2
GWM-02-2-R2
GWM-02-3-R2
GWM-02-4-R2
GWM-02-5-R2
GWM-02-7-R2
GWM-02-8-R2
GWM-02-9-R2
FB071406-MP
Matrix
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Trip Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Analysis
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
Collection/ Shipment Date
7/12/2006
7/12/2006
7/12/2006
7/12/2006
7/12/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/13/2006
7/14/2006
! " " QA/QC
.
CDM 3 0 0 0 7 1 Page 2 of 5
Table 1 Case Number: 35508
LDL VOCs, TCL SVOCs, Pesticides, and PCBs A4 Scientific
July 10, 2006 - July 20, 2006
CLP Sample ID
B3R03
B3QP7
B3QR0
B3QS2
B3QS3
B3QS4
B3QS5
B30S6
B3R04
B3R05
B3QR4
B3QR5
B3QR6
B3QR7
B3QR8
B3QR9
B3QS0
B3QS1
B3QS7
B3QS8
B3QS9
B3QTG
B3R06
CDM Sample Name
TB71406
GWM-01-3-R2
GWM-02-6-R2
GWM-04-1-R2
GWM-04-2-R2
GWM-04-3-R2
GWM-04-4-R2
GWM-04-5-R2
FB071706-MP
TB071706
GWM-03-1-R2
GWM-03-2-R2
GWM-03-3-R2
GWM-03-4-R2
GWM-03-5-R2
GWM-03-6-R2
GWM-03-7-R2
GWM-04-10-R2
GWM-04-6-R2
GWM-04-7-R2
GWM-04-8-R2
GWM-04-9-R2
FB071806-MP
Matrix
Trip Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Trip Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Analysis
LDLVOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs
LDL VOCs
LDLVOCs
LDL VOCs
LDL VOCs LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDLVOCs
LDL VOCs
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDLVOCs
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
Collection/ Shipment Date
7/14/2006
7/14/2006
7/14/2006
7/14/2006
7/14/2006
7/14/2006
7/14/2006
7/14/2006
7/17/2006
7/17/2006
7/17/2006
7/17/2006
. 7/17/2006
7/17/2006
7/17/2006
7/17/2006
7/17/2006
7/17/2006
7/17/2006
7/17/2006
7/17/2006
7/17/2006
7/18/2006
QA/QC
COM 3 0 0 0 7 2 Page 3 of 5
Table 1 Case Number: 35508
LDL VOCs, TCL SVOCs, Pesticides, and PCBs A4 Scientific
July 10, 2006-July 20, 2006
CLP Sample ID
B3R07
B3QT7
B3QX3
B3QX4
B3QX5
B3QX6
B3QX7
B3QX8
B3QZ0
B3R08
B3R09
B3QT1
B3QT2
B3QT3
B3QT4
B3QT5
B3QT6
B3QT8
B3QT9
B3QW0
B3QW1
B3QW2
B3QW3
CDM Sample Name
TB071806
GWM-05-6-R2
GWM-08-1-R2
GWM-08-2-R2
GWM-08-3-R2
GWM-08-4-R2
GWM-08-5-R2
GWM-08-6-R2
GWM-18-4-R2
FB071906-MP
TB071906
GWM-05-10-R2
GWM-05-1-R2
GWM-05-2-R2
GWM-05-3-R2
GWM-05-4-R2
GWM-05-5-R2
GWM-05-7-R2
GWM-05-8-R2
GWM-05-9-R2
GWM-06-1-R2
GWM-06-2-R2
GWM-06-3-R2
Matrix
Trip Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Trip Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Analysis
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs
LDLVOCs
LDL VOCs
LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDLVOCs
LDL VOCs LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDLVOCs
LDLVOCs
LDLVOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDL VOCs
LDLVOCs
LDL VOCs
Collection/ Shipment Date
7/18/2006
7/18/2006
7/18/2006
7/18/2006
7/18/2006
7/18/2006
7/18/2006
7/18/2006
7/18/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
7/19/2006
1. pA/QC I
Duplicate of GWM-08-4-R2
COM 300073 Page 4 of 5
Table 1 Case Number: 35508
LDL VOCs, TCL SVOCs, Pesticides, and PCBs A4 Scientific
July 10, 2006-July 20, 2006
CLP Sample ID
B3QW4
B3QW6
B3R10
B3R11
B3QW5
CDM Sample Name
GWM-06-4-R2
GWM-06-6-R2
FB072006-MP
TB072006
GWM-06-5-R2
Matrix
Groundwater
Groundwater
Field Blank
Trip Blank
Groundwater
Analysis
LDL VOCs
LDL VOCs LDL VOCs, TCL SVOCs, Pesticides, PCBs
LDL VOCs LDL VOCs, TCL SVOCs, Pesticides, PCBs
Collection/ Shipment Date
7/19/2006
7/19/2006
7/20/2006
7/20/2006
7/20/2006
QA/QC
MS/MSD
Notes:
SIM analysis for VOCs and SVOC - See attached list.
GWX- Existing Well GWM- Multiport Well GWP- Public Supply Well MP- Multiport GP- Grunfos Pump MS/MSD- Matrix Spike/ Matrix Spike Duplicate RI- Round One QA/QC- Quality Assurance/Quality Control
CLP - Contract Laboratory Program ID - identification
CDM 3 0 0 0 7 4 Page 5 of 5
Table 2 Case Number: 35508
TAL Metals, Mercury and Cyanide Liberty Analytical
July 10, 2006-July 20, 2006
CLP Sample ID
MBQZ1
MB3QX9
MBSQYO
MB3QY1
MB3QY3
MB3QZ3
MB3QY5
MB3QY6
MB3QZ3
MB3QZ4
MB3QY2
MB3QY4
MB3QY8
MB3QZ7
MB3QZ8
MB3QY7
MB3QY9
MB3QW8
CDM Sample Name
FB071006-GP
GWP-10-R2
GWP-11-R2
GWP-21-R2
GWX-10020-R2
GWX-8068-R2
GWX-8474-R2
GWX-8475-R2
GWX-8068-R2
FB071106-GP
GWX-10019-R2
GWX-10035-R2
G\A/X-9966-R2
FB071206-GP
FB071206-MP
GWX-9398-R2
GWX-9973-R2
GWM-07-2-R2
Matrix
Field Blank
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Groundwater
Field Blank
Groundwater
Groundwater
Groundwater
Field Blank
Field Blank
Groundwater
Groundwater
Groundwater
Analysis
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide '
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
Collection/ Shipment Date
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/10/2006
7/11/2006
7/11/2006
7/11/2006
7/11/2006
7/12/2006
7/12/2006
7/12/2006
7/12/2006
7/12/2006
QA/QC
MS-D
Duplicate of GWP 11-R2
MS-D
CDM 3 0 0 0 7 5
Page 1 of 2
Table 2 Case Number: 35508
TAL Metals, Mercury and Cyanide Liberty Analytical
July 10, 2006-July 20, 2006
CLP Sample ID
MB3R02
MB3QP7
MB3QR0
MB3R04
MB3QR6
MB3QS8
MB3R06
MB3QT7
MB3QX6
MB3QZ0
MB3R10
MB3QW5
CDM Sample Name
FB071406-MP
GWM-01-3-R2
GWM-02-6-R2
FB071706-MP
GWM-03-3-R2
GWM-04-7-R2
FB071806-MP
GWM-05-6-R2
GWM-08-4-R2
GWM-18-4-R2
FB072006-MP
GWM-06-5-R2
Matrix
Field Blank
Groundwater
Groundwater
Field Blank
Groundwater
Groundwater
Field Blank
Groundwater
Groundwater
Groundwater
Field Blank
Groundwater
Analysis
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
TAL Metals, Mercury, Cyanide
Collection/ Shipment Date
7/14/2006
7/14/2006
7/14/2006
7/17/2006
7/17/2006
7/17/2006
7/18/2006
7/18/2006
7/18/2006
7/18/2006
7/20/2006
7/20/2006
QA/QC
Duplicate of GWM-08-4-R2
MS-D
Notes: SIM analysis for selected metals - See attached list.
GWX- Existing Well GWM- Multiport Well GWP- Public Supply Well MP- Multiport GP- Grunfos Pump MS-D- Matrix Spike/ Duplicate R1- Round One QA/QC- Quality Assurance/ Quality Control
CLP - Contract Laboratory Program ID - identification
CDM 3 0 0 0 7 6 Page 2 of 2
Groundwater Screening Criteria Compared to Quantitation Limits Old Roosevelt Field Contaminated Groundwater Site
Garden City, Nassau County, New York
Chemical Name
VOCs 1,1,2-Trichloroethane 1,2-Dibromo-3-chloropropane 1,2-Dibromoethane Benzene cis-1,3-Dichloropropene Trans-1,3-Dichloropropene SVOCs Atrazine Benzo(a)anthracene Benzo(a)pyrene Benzo(b)fluoranthene Benzo(k)fluoranthene bis(2-Chloroethyl)ether Chrysene Hexachlorobenzene Hexachlorobutadiene lndeno(1,2,3-cd)pyrene Nitrobenzene Pentachlorophenol Inorganics Antimony Arsenic Beryllium Cadmium . . Selenium Thallium Zinc
Site-Specific Groundwater
Screening Criteria
(SSGWSC) (4)
Value
1 0.04
0.0006 1
0.4 0.4
3 0.002
0.2 0.002 0.002
1 0.002 0.04
0.5 0.002
0.4 1
3 10 3 5
10 0.5
5
SOM01.1
Requested Method Opt ion
Trace Trace -SIM not listed
Trace Trace Trace
Low Low-SiM Low-SIM Low-SIM Low-SIM
Low — Low-SIM-
Low Low
Low-SIM Low
Low-SIM
-------
CRQL
0.5 0.05
?? 0.5 0.5 0.5
5 0.1 0.1 0.1 0.1
5 0.1
5 5
0.1 5
0.2
ILM05.3
Requested Method Opt ion
, ------
' -- •
-------
. --
ICP-MS ICP-MS ICP-MS ICP-MS ICP-MS ICP-MS ICP-MS
CRDL
2 1 1 1 5 1 2
Notes: 02-038, Summer 2002 (2) NYSDEC. June 1998. TOGS 1.1.1. Ambient Water Quality Standards and Guidance Values,and Groundwater Effluent Limitations. Includes April 2000 Addendum values.
(3) New York State Department of Health Drinking Water Standards (4) Screening criteria is the lowest of the listed USEPA, NYSDEC, and NYDOH groundwater standards.
All VOC, SVOC, P/PCB and Inorganic values are in micrograms per liter (ug/L)
C D M
Roosevelt Field Screening Criteria and Quant Limits 3 0 0 0 7 7
Page 1 o f 1
ATTACHMENT I
ORGANIC CHAIN OF CUSTODY RECORDS
300078
«rEF.| Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co:
USEPA Contract Laboratory Program ^ ^ Brganic Traffic Report & Chain of Custody Recor^P
2
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped: 7/10/2006
Carrier Name: FedEx
Airbill: 8540 8717 4042
Shipped to: A4 Scientific
1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No:
DAS No:
Chain of Custody Record
Rellnqulshied<By (Date / Time)
1 -4h-fL.. . nJ r f ^ 2
3
4
35508
> Sampler / Slgiature: f ^
Received By
• K < / '
(Date / Time)
ORGANIC
SAMPLE No.
MATRIX/ SAMPLER
CONG/ TYPE
ANALYSIS; TURNAROUND
TAG No./
PRESERVATIVE/ Bottles
STATION
LOCATION
SAMPLE COU.ECT
DATE/TIME INORGANIC SAMPLE No.
QC Type
B3QX9
B3OY0
B3QY1
B3QY3
B3QY5
B3QY6
B3QZ1
B30Z2
B3QZ3
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Field Blank/ Melissa Koberle
Trip Blank/ Melissa Koberle
Ground Water/ Adrian Steinhauff
L/G
L/G
L/G
L/G
L/G
UG
L/G
UG
L/G
TVSIM(21)
TVS(M(21)
TVSIM(21)
TVSIM(21)
TVSIM(21)
TVSIM(21)
TVSIM(21)
TVSIM (21)
TVSIM(21)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWP-10-R2
TB071006
S; 7/10/2006 10:40
S: 7/10/2006 9:00
MB3QX9
GWP-11-R2 S: 7/10/2006 11:10 MB3QY0
GWP-21-R2 S: 7/10/2006 11:25 MB3QY1
GWX-10020-R2 S: 7/10/2006 12:50 MB3QY3
GWX-8474-R2 S: 7/10/2006 13:30 MB3QY5
GWX-8475-R2 S: 7/10/2006 14:00 MB3CiY6
FB071006-GP S: 7/10/2006 9:15 MB3Q21
GWX-8068-R2 S: 7/10/2006 15:30 MB3QZ3
Field Duplicate
Field Blank
Trip Blank
Shipment for Case Complete? N
Analysis Key:
TVSIM = SOM01-1 -W-
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/IMedium, H -= High
Additional Sampler Slgnature(s):
Type/Designate: Composite = C, Grab = G
ChalnofCustody Seal Number:
Shipment Iced?
VUA- 1 race & b i M 1
TR Number: 2-092439248-071006-0006 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chanfilly, VA 20151-3819; Phone 703/818-4200; Fax
«««»»
F2V5.1.047 Page 1 Of 1
o o o
'7r^'5;o^ o , i c m
| L f i p ^ ^ U S E P A Contract Laboratory Program >rganic Traffic Report & Chain of Custody Reco!
Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co:
Case No:
DAS No:
35508 R
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped: 7/10/2006
Carrier Name: FedEx
Airbill: 8540 8717 4042
Shipped to: A4 Scientific 1544 Sawdust Road
' Suite 506 The Woodlands TX 77380 (281)292-5277
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/Bottles
STATION LOCATION
Chain of Custody Record
Relinquished By ,
1 A^l^t (Date / Time)
•Sjkld.
Sampler ^J j Si^iature: "^"t'-i Received By (Date/Time)
^ ^
SAMPLE COLLEa DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QX9 Groundwater / L/G A R 0 - W ( 2 1 ) , (Ice Only) (14) Adrian PEST-W (21), SVSIM Steinhauff (21)
GWP-10-R2 •/10/2006 10:40 MB3QX9
Shipment forCase Complete? N
Analysis Key:
A R O - W = S O M 0 1 - 1 - W -
Sample(s) to be used for laboratory QC:
B3QX9
Additional Sampler Slgnatur*<t):
Concentration; L = Low, M = Low/Medium, H = High Type/Designate: Composite = C, Grab = G
Chain of Custody S M I Number
Shipment iced?
-"Cy, P b S I - W = S0MU1-1 -W- l^esiticides, IJVyiM = SOM01-1 -W- J5V0A- LOW & SIM 1
o o o 00
o
TR Number: 2-092439248-071006-0004 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819: Phone 703/818-4200; Fax F2V5.1.047 Page 1 o f 1 -7r^'^/o^ o Acnn
^ ^ C j f l ^SEPA Contract Laboratory Program g j ^ '^TOrganic Traffic Report & Chain of Custody RecoflP
Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped: 7/10/2006
Carrier Name: FedEx
Airbill: 8540 8717 4042
Shipped to: A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No:
DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
1 f•<//..._ ? m ( 2
3
4
35508
Sampler ,• f j y f Si mature:/ . , ' ' \ i f /
Received By
• R *
(Date / Time)
ORGANIC SAMPLE No.
IMATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/Bottles
STATION LOCATION
SAMPLE COlLEa DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QY0
B3QY5
B3QY6
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff
L/G
L/G
L/G
AR0-W(21), PEST-W (21), SVSIM
(21) ARO-W(21),
PEST-W (21), SVSIM (21)
ARO-W(21), PEST-W (21), SVSIM
(21)
(Ice Only) (6)
(Ice Only) (6)
(Ice Only) (6)
GWP-11-R2 S: 7/10/2006 11:10 MB3QY0
GWX-8474-R2 S: 7/10/2006 13:30 MB3QY5
GWX-8475-R2 S: 7/10/2006 14:00 MB3QY6
Shipment for Case Complete? N
Analysis Key:
ARO-W = SOM01-1-W-
Sample(s) to be used for laboratory QC: Additional Sampler Slgnature(s):
Concentration: L = Low, IVI = Low/Medium, H = High Type/Designate: Composite = C Grab = G
Chain of Cuito&f Seal Number-
Shipment iced?
JCB, PEST-W = SOM01-1 -W- Pesiticides, SVSIM = SOM01-1 -W- SVOA- LOW & SIM 1
o o o 00
TR Number: 2-092439248-071006-0005 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax
'PY F2V5.1.047 Page 1 Of 1
"7mfoio /(cm
' ^ R r g a n i c Traffic Report & Chain of Custody Recoi^P i
Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID: PE
Site Name/State; Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
1 Date Shipped:
Carrier Name:
Airbill: 1 Shipped to:
1
7/10/2006
FedEx
8540 8717 4042
A4 Scientific 1544 Savi/dust Road Suite 506 The Woodlands TX 77380 (281)292-5277
CasB No:
DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
1 Mr--- - - -yi/dU. 2
3
4
35508 ^ ^ p
Sampler h r '> . , '1 Signature: ^ - ^ ' - ^ i / J - ^e . ' s . - ' " ^
Received By '--* (Date / Time)
ORGANIC SAMPLE No.
B3QY1
MATRIX/ SAMPLER
Ground Water/ Adrian Steinhauff
CONC/ TYPE
L/G
ANALYSIS/ TAG No./ TURNAROUND PRESERVATIVE/ Bottles
ARO-W(21) . (Ice Only) (6) PEST-W (21), SVSIM
(21)
STATION LOCATION
GWP-21-R2
SAMPLE COUEa DATE/HME
S: 7/10/2006 11:25
INORGANIC SAMPLE No.
MB3QY1
QC Type
Field Duplicate
Shipment for Case Complete? N
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium. H = High
Additional Sampivr Slgnatur»<«): Ciialn of Custody S««l NumiMr
O O O 00 Analysis Key:
ARO-W = SOM01-1-W- f CB, PbST-W = SOMOI-t -W- (Jesiticides, SVSIM = K O M U M -W- SVUA- LUW & SIM
Typ«/De«lgnate: Composite = C, Grab = G Shipment Iced?
TR Number: 2-092439248-071006-0007 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr.. Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 o f 1
triiio-iQ ^cm
^ P p M^SEPA Contract Laboratory Program ^ ^ ^ ^ ^ ^ i r g a n l c Traffic Report & Chain of Custody Recor^P
Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action; Remedial Investigation
Sampling Co: CDM
Date Shipped:
iCarrier Name:
Airbill:
[Shipped to: i
7/10/2006
FedEx
8540 8717 4042
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
' ^-C-e/ -H /dh i ^^ ' 2
3
4
35508 ^ ^ ^ p
Sampler / X ^ ' ' - • '7 Slgiature: l ^ r - ^ y . . ^ ^
Received By '-"' (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COaECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QZ3 Ground Water/ Adrian Steinhauff
L/G ARO-W (21). PEST-W (21). SVSIM
(21)
(Ice Only) (6) GWX-8068-R2 S: 7/10/2006 15:30 MB3QZ3
Shipment for Case Complete? N
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s): Chain of Custody Seal Number: O o o 00 10 Concentration: L = Low. M = Low/Medium. H = High Type/Designate: Composite = C. Grab = G Analysis Key:
ARO-W = SOM01-1-W-PCB. P E S I - W = SOM01-1 -W- Pesiticides, SVSIM = SOM01-1 -W- SVOA- L O W S SIM
Shipment Iced?
TR Number: 2-092439248-071006-0008 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2VS.1.047 Page 1 o f 1
'yr 'ifOAQ /tcnn
SEP^ Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co:
jUSEPA ContractLatxwab»y Program ^ ^ Brganic Traffic Report & Chain of Custody R e c o r ^ P
i' • : 1
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff Remedial Investigation
CDM
Date Shipped: 7/10/2006
Carrier Name: FedEx
Airbill: 8540 8717 4042
Shipped to: A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: DAS No:
Chain of Custody Record
Relintjulshed By, (Date / Time)
' M c / 4-liayL ioa-.
3
4
35508
Sampler / Slgiafure; i '
Received By
• R U. 1
(Date / t ime)
ORGANIC SAMPLE No.
MATRIX/
SAMPLER CONC/
TYPE
ANALYSIS/
TURNAROUND
TAG No./
PRESERVATIVE/ Bottles
STATION
LOCATION SAMPLE COllECT
DATE/TIME INORGANIC SAMPLE No.
QC Type
B3QZ1 Field Blank/ Melissa Koberle
L/G ARO-W (21). PEST-W (21). SVSIM
(21)
(Ice Only) (6) FB071006-GP S: 7/10/2006 9:15 MB3QZ1 Field Blank
Shipment for Case Complete? N
Analysis Key:
ARO-W = SOM01-1-W-
Sample(s) to be used for laboratory QC: AddHlonal Samplm^ Slgnatur*<*):
Concentration: L = Low, M = Low/Medium. H = High Type/Designate: Composite = C. Grab = G
Chain of Custody S M I Numbt r
Shipment Iced?
=CB, PESl-W = SOM01-1 -W- Pesiticides, SVSIM = SOMOM -W- SVOA- LOW & SIM 1
o o o OD
TR Number: 2-092439248-071006-0009 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 of 1 •7r\'3iQA Q , i c n n
^ C p L ^ | U S E P A Contract Laboratory Program ^ ^ ^ ^ ) r g a n i c Traffic Report & Chain of Custody RecoiVP
Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped:
Carrier Name:
Airbill:
Shipped to: i 1
7/10/2006
FedEx
8540 8717 4042
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: DAS No:
Chain of Custody Record
Rellnc^ulshed By (Date / Time)
' / i / /^-- ' jMlft?^ 2
3
4
35508
Sampler ' ^; Signature: K f
Received 6y
• R X4
(Date / Time)
ORGANIC SAMPLE No.
MATRIX; SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVB Bottles
STATION LOCATION
SAMPLE COILECT DATE/TIIVIE
INORGANIC
SAMPLE No.
QC
Type
B3QY3 Groundwater / L/G ARO-W (21), (Ice Only) (6) Melissa Koberle PEST-W (21), SVSIM
(21)
GWX-10020-R2 S: 7/10/2006 12:50 MB3QY3
Shipment for Case Complete? N
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s): Chain of Custody Seal Number:
O O O 00 Ul
Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite = C, Grab = G
L
Analysis Key:
ARO-W = SOM01-1-W-PCB, PbST-W = SUM01-1 -W- Pesiticides, SVSIM = SUM01-1 -W- SVOA- LOW & SIM
Shipment Iced?
TR Number: 2-092439248-071006-0010 PR provides preliminary results. Requests for preliminary results will Increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heattier Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 of 1
Tm/Q-io vicm
^ p O i ^ y S E P A Contract Laboratory Program Prganic Traffic Report & Chain of Custody Recorl
Case No: DAS No:
3SS08 R Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff Remedial Investigation
CDM
Date Shipped: 7/11/2006 I Carrier Name: FedEx
Airbill: 8571 6389 2744
Shipped to: A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Chain of Custody Recx>rd
Rellhquished By (Date / Time)
-^.Lyi^z-C-4m\d. fe
Sampler Sigiature:
Received By khi h \>
(Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COU.ECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QW7
B3QW9
B3QX0
B3QX1
B3QX2
B3QY2
B3QY4
B3QY8
B3QZ4
B3Q25
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberie
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Melissa Koberle
Field Blank/ Adrian Steinhauff
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVS1M(21)
TVSIM (21)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWM-07-1-R2 S: 7/11/2006 11:00
GWM-07-3-R2 S: 7/11/2006 11:30
GWM-07-4-R2 S: 7/11/2006 12:00
GWM-07-5-R2 S: 7/11/2006 12:20
GWM-07-6-R2 S: 7/11/2006 13:00
GWX-10019-R2 S: 7/11/2006 10:40 MB3QY2
GWX-10035-R2 S: 7/11/2006 14:15 MB3QY4
GWX-9966-R2 . S: 7/11/2006 17:05 MB3QY8
FB071106-GP S: 7/11/2006 7:30 MB3QZ4
FB071106-MP S: 7/11/2006 8:20
Field Blank
Field Blank
ShipmentforCase ComplefE?N
Analysis Key;
TVSIM = SOM01-1 -W-
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium, H
VUA- 1 race & a m
= High
Additional Sampler Slgnature<«):
Type/Designate: Composite = C Grab « G
Chain of Custody S M I Number:
Shipment Iced?
TR Number: 2-092439248-071106-0004 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 o f 2
o o o 00
"jmicjio >ior\o
^ C p ^ l J U S E P A Contract Laboratory Program g ^ ^ '^ ^ l ^ r g a n i c Traffic Report & Chain of Custody Recor lV
Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID: PE
Site Name/State: o l d Roosevelt Field - GWR2/NY
Project Leader; Adrian Steinhauff
Action: Remedial Investigation
Sampling Co; CDM
Date Shipped:
barrier Name:
Airbill:
Shipped to;
7/11/2006
FedEx
8571 6389 2744
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: 35508 g ^ Q
DAS No: ^ j P • ^
Chain of Custody Record
Relinquished By (Date / Time)
r¥*^..- ^^ ///k m 2
3
4
Sampler / / / / / j 7
Recelved%y (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATlVe Bodies
STATION LOCATION
SAMPLE COllECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B30Z6 Trip Blanl</ Adrian Steinhauff
L/G TVSIM (21) (HCL) (4) TB071106 S: 7/11/2006 8:00 Trip Blank
ShipmentforCase Complete? N
Analysis Key:
TVSIM = SOM01-1 -W-
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium, H
VUA- 1 race & SIM
= High
Additional Sampler Signature(s):
Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Shipment Iced?
w o o o 00 - J
TR Number: 2-092439248-071106-0004 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax
a m cciPY F2V5.1.047 Page 2 of 2
Tnofo-i o Acr\n
i * % 'O^JBUSEPA Contract Laboratory Program ^ j ^ ' ^ ^ j r g a n i c Traffic Report & Chain of Custody RecorUP
Case No:
DAS No:
35508 R Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff Remedial Investigation
CDM
Date Shipped:
Carrier Name:
'Airbill:
Shipped to:
7/11/2006
FedEx
8571 6389 2744
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Chain of Custody Record
Relinquished By .. (Date / Time)
rp4yzMJJI^ (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No.; PRESERVATIVe Bottles
STATION LOCATION
SAMPLE COLLEa DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QZ4 Field Blank/ L/G ARO-W (21), (Ice Only) (6) Melissa Koberle PEST-W (21), SVSIM
(21)
FB071106-GP S: 7/11/2006 7:30 MB3QZ4 Field Blank
ShipmentforCase ComplelB?N
Analysis Key:
ARO-W = SOM01-1-W-
Sample(s) to be used for laboratory QC: AddHlonal Sampler Slgnatur«<t);
Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite = C. Grab = G
Chain of Custody Seal Number:
Shipment Iced?
PCB, PbS l -W = S O M O M -W-Pesi t ic ides, SVSIM = SUMU1-1 - W - S V O A - L O W & SIM 1
UI o o o 00 00
TR Number: 2-092439248-071106-0005 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax
'•W9 ^ " s . ^ m n
F2V5.1.047 P a g e l o f 1 TrtQ/O'fO /*cr\T
i ^ C O j ^ U S E P A Contract Laboratory Program ^ ^ ^ ^ ^ ^ ^ ^ O r g a n i c Traffic Report & Chain of Custody RecoSI^
Region:
Project Code:
Account Code;
CERCLIS ID:
Spill ID:
Site Mame/State:
Project Leader:
Action:
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWF52/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped:
Carrier Name:
Airbill-
Shipped to:
7/11/2006
FedEx
8571 6389 2744
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
j|Datej/Time)
nwrn-Received By (fiateTtime)
LL
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVB Bottles
STATION LOCATION
SAMaE COILECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QY2 Groundwate r / L/G ARO-W (21), (Ice Only) (6) Melissa Koberle PEST-W (21), SVSIM
(21)
GWX-10019-R2 S: 7/11/2006 10:40 MB3QY2
ShipmentforCase Complete? N
Analysis Key:
ARO-W = SOMOM-W-
Sample(s) to be used for laboratory QC: Additional Sampler Slgnature(s):
Concentration: L = Low, IVt = Low/Medium, H = High Type/Designate: Composite = C Grab = G
Chain of Custody Seal Number:
Shipment Iced?
PCB, PbSI-W = SUMOM -W- Pesiticides, SVSIM = SOM01-1 -W- SVOA- LOW & SIM 1
TR Number: 2-092439248-071106-0006 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax
OJ o o o 00 vo
F2V5.1.047 Page 1 of 1
T m /0-1 o ^cr\o
r .EP^ SEPA Contract Laboratory Program rganic Traffic Report & Chain of Custody Reco m Case No:
DAS No:
35508 R Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co:
NYSFN0204323
PE Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped: 7/11/2006
Carrier Name: FedEx
Airbill: 8571 6389 2744
Shipped to: A4 Scientific -1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Chain of Custody Record
Relinquished (Date / Time)
^ ^
Sample Sigiature:
Received By (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAGNoJ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COILECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QY8 Groundwater / L/G ARO-W (21), (Ice Only) (6) Melissa Koberle PEST-W (21), SVSIM
(21)
GWX-9966-R2 S: 7/11/2006 17:05 MB3QY8
ShipmentforCase Complete ?N
Analysis Key:
ARO-W = SOMOM-W-
Sample(s) to be used for laboratory QC: Additional Sampler Signatuf«<s):
Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Shipment Iced?
PCB, PbST-W = SOMOi-1 -W- Pesiticides, SVSIM = SOMOM -W- SVOA- LOW & SIM 1
o o o vo o
TR Number: 2-092439248-071106-0007 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly. VA 20151-3819: Phone 703/818-4200; Fax F2VS.1.047 Page 1 o f 1
yn'jiQ-i o Acnn
J ^ C C k ^ U S E P A Contract Laboratory Program Organic Traffic Report & Chain of Custody Reco m Case No:
DAS No:
35508
Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State;
Project Leader:
Action:
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped: I Carrier Name: Airbill:
Shipped to:
7/11/2006
FedEx
8571 6389 2744
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Chain of Custody Record
(Date / Time)
M
Sampler Signature;
Received By (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COLLEa DATE/nME
INORGANIC SAMPLE No.
QC Type
B3QY4 Ground Water/ Melissa Koberle
L/G ARO-W (21), PEST-W (21), SVSIM
~ (21)
(Ice Only) (6) GWX-10035-R2 S: 7/11/2006 14:15 MB3QY4
ShipmentforCase Complete? N
Analysis Key:
ARO-W = S O M O M - W -
Sample(s) to be used for laboratory QC: AddHlonal Sampler Slgnature<e):
Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite = C Grab = G
Chain of Cuatody Seal Number
Shipment Iced?
-•CB, P t S T - W = S O M O M -W- Pesiticides, SVSIM = S O M O M -W- SVUA- LOW & SIM 1
u o o o u> H
TR Number: 2-092439248-071106-0008 PR provides preliminary results. Requests for preliminary results will Increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 Of 1 •7r\'iiQ-% o Acrtn
oEFi i Region:
Project Code:
Account Code;
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader;
Action;
Sampling Co:
IJLJSEPA Contract Laboratory Program ^ j ^ Organic Traffic Report & Chain of Custody Recoi lP
2
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
. Remedial Investigation
CDM
Date Shipped: 7/12/2006
Carrier Name; FedEx
Airbill: 85716389 2608
Shipped to; A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: DAS No:
Chain of Custody Record
Relinquished By , (Date/Time)
1 /CI >^ 0 \ A :<M. i > • . t ; • ( - . • / • • /•••
i ' ^ •••
3
4
35508
Sampler ^} Sigiature: / >.,
Received By~ '
• R (DateTtlme)
}
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG NoJ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COILECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QP6
B30P8
B3QW8
B3QY7
B3QY9
B3QZ7
B3QZ8
B3QZ9
Ground Water/ Adrian Steinhauff Ground Water
Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Melissa Koberle
Field Blank/ Adrian Steinhauff Trip Blank/ Adrian Steinhauff
L/G
L/G
L/G
L/G
L/G
-L/G
L/G
L/G
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
(HCL) (4)
" "" , (HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWM-01-2-R2 S: 7/12/2006 16:00
GWM-01-4-R2 S: 4/12/2006 16:26
GWM-07-2-R2 S: 7/12/2006 9:30
TB071206 S: 7/12/2006 8:00
MB3QW8
GWX-9398-R2 S: 7/12/2006 10:30 MB3QY7
GWX-9973-R2 S: 7/12/2006 15:45 MB3QY9
FB071206-GP S: 7/12/2006 7:45 MB3QZ7
FB071206-MP S: 7/12/2006 8:00 MB3QZ8
Field Blank
Field Blank
Trip Blank
ShipmentforCase Complete? N
Analysis Key:
TVSIM = S O M O M -W-
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium, H
VOA- Trace & SIM
= High
Additional Sampler Signature(s):
Type/Designate: Composite = C. Grab = G
Chain of Custody Seal Number:
Shipment Iced?
TR Number: 2-092439248-071206-0004 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax
* l ^ i F2VS.1.047 Page 1 o f 1
LO o o o \o to
T m / O ' l 0 ACfy^'i
^ C n J f e | S E P A Contract Laboratory Program Organic Traffic Report & Chain of Custody Recon m Case No:
DAS No:
35508 • R Region:
Project Code;
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped: 7/12/2006
Carrier Name: FedEx
Airbill: 8571 6389 2608
Shipped to; A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Chain of Custody Record
Relinquished By (Date / Time)
Sampler / Signature: ^X
Received By (Date./Tinie)
ORGANIC
SAMPLE No.
MATRIX; SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COU-Ea DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QY7
B3QZ7
B3QZ8
Ground Water/ Melissa Koberle
Field Blank/ Melissa Koberle
Field Blank/ Adrian Steinhauff
L/G
L/G
L/G
ARO-W (21), PEST-W (21), SVSIM
(21) ARO-W (21),
PEST-W (21), SVSIM (21)
ARO-W (21), PEST-W (21), SVSIM
(21)
(Ice Only) (6)
(Ice Only) (6)
(Ice Only) (6)
GWX-9398-R2 S: 7/12/2006 10:30 MB3QY7
FB071206-GP S: 7/12/2006 7:45 MB3QZ7
FB071206-MP S: 7/12/2006 8:00 MB3QZ8
Field Blank
Field Blank
ShipmentforCase Complete ?N
Sample(s) to be used for laboratory QC: Additional Sampler Slgn8ture<s): Chain of Custody Seal Number OJ O O O
\o Concentration: L = Low, M = Low/ti/ledium, H = High Type/Designate: Composite = C. Grab = G Analysis Key:
ARO-W = SOM01-1-W-(JCB, PESI-W = SOMOM -W- Pesiticides, SVSIM = SUMOM -W- SVOA- LOW & SIM
Shipment Iced?
TR Number: 2-092439248-071206-0005 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chanfilly, VA 20151-3819; Phone 703/818-4200; Fax F2VS.1.047 Page 1 of 1
7no/0'i o >)cno
^ ^ *^Brgan fc Traffic Report & Chain of Custody RecordV
Region: 2
Project Code;
Account Code:
CERCLIS ID; NYSFN0204323
Spill ID; PE
Site Name/State; Old Roosevelt Field - GWR2/NY
Project Leader; Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
i
Date Shipped: 7/12/2006
Carrier Name: FedEx
Airbill: 8571 6389 2608 Shipped to: A4 Scientific j 1544 Sawdust Road
Suite 506 1 The Woodlands TX 77380 j (281)292-5277
1
-Case No:
DAS No:
Cha in o f Cus tody Record
Relinquished By j, (Date / Jime)
^ 1 . / / . -^irndL.^-^ • ' - - • • - • •
3
4
35508
Sampler / . — ^ / ' Si mature: f ' lC / U
Received By ' ^-^ •
• R (DatelTlrhe)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVB Bottles
STATION LOCATION
SAMPLE COU-Ea DATE/TIME
INORGANIC SAMPLE No.
QC
Type
B3QW8 Groundwate r / L/G ARO-W (21), (Ice Only) (6) Adrian PEST-W (21), SVSIM Steinhauff (21) ' " .
GWM-07-2-R2 S: 7/12/2006 9:30 MB3QW8
ShipmentforCase Complete? N
Analysis Key:
ARO-W = S O M O M - W -
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s):
•
Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite = C Grab = G
Chain of Custody Seal Number:
Shipment Iced?
3CB, P tS I -W = SOM01-1 -W- Pesiticides, SVSIM = SOM01-1 -W- SVOA- LOW «. SIM 1
o o o u>
TR Number: 2-092439248-071206-0006 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 of 1
7mfOi 0 ^ c m
^ C C V A j S E P A Contract Laboratory Program )rganic Traffic Report & Chain of Custody Recor M Case No:
DAS No:
35508 I X
Region;
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action;
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped:
Carrier Name;
Airbill:
Shipped to:
7/12/2006
FedEx
8571 6389 2608
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281) 292-5277
Chain of Custody Record
Rellnquisti^d By (Date / Time)
1 \ l !). /f -•m4i.I rP'.
Sandler Sigiature:
Received By (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
COfJC/ TVPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COLLECT DATE/TIME
INORGANIC SAMPLE No.
QC
Type
B3QY9 Groundwate r / UG ARO-W (21), (Ice Only) (6) Melissa Koberle PEST-W (21), SVSIM
(21)
GWX-9973-R2 S: 7/12/2006 15:45 MB3QY9
ShipmentforCase Complete? N
Sample(8) to be used for laboratory QC: AddHlonal Sampler Slgnature<s): Chain of Cuttody Seal Number
O o o \o UI Concentration: L = Low, M = Low/Medium, H = High Type/Deeignste: Composite = C, Grab = G Analysis Key:
ARO-W = SOMOM-W-PUbl, MbSI-W = SOMOM -W- Pesiticides, SVSIM = SUMUM -W- SVOA- LOW & SIM
Shipment Iced?
TR Number: 2-092439248-071206-0007 PR provldea preliminary results. Requests fbr preliminary results will Increase analytical coat*. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Cantor Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 o f 1
•7ri-j(oio d c m
& 1 E F ^I^SEPA Contract Laboratory Program ^ j ^ ^ Organic Traffic Report 8i Chain of Custody Recor^V
Region: 2
Project Code:
Account Code;
CERCLIS ID; NYSFN0204323
Spill ID: PE
Site Name/State: old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co; CDM
Date Shipped: 7/13/2006
Carrier Name: FedEx
Airbill: 85716389 2619
Shipped to: A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No:
DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
^ -H;: ;\.4 '^^S-t: 2 ' - \„.-
3
4
35508
Sampler | Sigiature: |
Received By/ "
BR (Data/Time)
ORGANIC SAMPLE No.
MATRIX/
SAMPLER
CONC/
TYPE
ANALYSIS/
TURNAROUND TAG No./
PRESERVATIVE/ Bottles
STATION
LOCATION SAMPLE COLLEa
DATE/TIME INORGANIC SAMPLE No,
QC
Type
B3QP4
B3QP9
B3QQ0
B3Q01
B3QQ2
B3QQ3
B3QQ4
B3QQ5
B3QQ6
B3QQ7
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWM-01-10-R2 S: 7/13/2006 13:20
GWM-01-5-R2 S: 7/13/2006 11:30
GWM-01-6-R2 S: 7/13/2006 12:00
GWM-01-7-R2 S: 7/13/2006 12:20
GWM-01-8-R2 S: 7/13/2006 12:45
GWM-01-9-R2 S: 7/13/2006 13:00
GWM-02-10-R2 S: 7/13/2006 14:20
GWM-02-1-R2 S: 7/13/2006 10:15
GWM-02-2-R2 S: 7/13/2006 10:45
GWM-02-3-R2 S: 7/13/2006 11:05
ShipmentforCase Complete? N
Analysis Key:
TVSIM = SOMOM -W-
Sample(s) to be used for laboratory QC:
Concentration: u = Low, M = Low/Medium, H =
VOA- 1 race & SIM
= High
Additional Sampler Signature(s):
aV- •• rCn Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Shipment Iced?
TR Number: 2-092439248-071306-0001 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax
' l"%CI
7n•^/Q^o ^crvo
F2V5.1.047 Pagel of 2
o o o vo
^ E F ^ H ^ ^ ^ A Contract Laboratory Program ^ ^ lk# r * ^J l rgan i c Traffic Report & Chain of Custody R e c o r « P
Region: 2
Project Code:
Account Code;
CERCLIS ID; NYSFN0204323
Spill ID: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader. Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped:
Carrier Name:
Airbill:
Shipped to;
7/13/2006
FedEx
8571 6389 2619
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No:
DAS No:
Chain of Custody Record
Relinquished By i (Date / Time)
2 r
3
4
35508
Sampler /; Sigiature:
Received By
• R /••' i
(Date/Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC; TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COLLEa DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QQ8
B3Q09
B3QR1
B3QR2
B3QR3
B3R00
B3R01
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Adrian Steinhauff Trip Blank/ Adrian Steinhauff
L/G
L/G
L/G
L/G
L/G
L/G
L/G
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWM-02-4-R2
TB071306
S: 7/13/2006 11:20
GWM-02-5-R2 S: 7/13/2006 11:45
GWM-02-7-R2 S: 7/13/2006 13:25
GWM-02-8-R2 S: 7/13/2006 13:55
GWM-02-9-R2 S: 7/13/2006 14:00
FB071306-MP S: 7/13/2006 7:30
S: 7/13/2006 8:00
Field Blank
Trip Blank
ShipmentforCase Complete? N
Analysis Key:
TVSIM = S O M O M -W-
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium, H
VUA- 1 race & SIM
= High
AddHlonal Sampler Slgnatur«(<);
Type/Deeignate: Composite = C. Grab = G
Chain ot Custody Seal Number;
Shipment Iced?
TR Number: 2-092439248-071306-0001 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center D r , Chantilly, VA 20151-3819: Phone 703/818-4200; Fax
m r o P ¥ F2VS.1.047 Page 2 Of 2
It) o o o \o • J
- rn i io f t ) >ier>o
JLpp^^,^kSEPA Contract Laboratory program ^ ^ ^ ^ ^ ^ ^ ^ r g a n i c Traffic Report & Chain of Custody Recorc^r
Case No:
DAS No:
35508 R Region:
Project Code;
Account Code;
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action;
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff Remedial Investigation
CDM
Date Shipped: 7/14/2006
Carrier Name: FedEx
Airbill; 8540 6682 7576
Shipped to; A4 Scientific i 544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Chain of Custody Record
RelinquistiedBy - 1 ^
1 / v . _ . - \ . / ' " "
(Date / Time)
'?Wn/mc
Sampler j Signature: f V i!( / „
Received By (Date / Time)
ORGANIC SAMPLE No.
B3QP7
B3QR0
B3QS2
B3QS3
B3QS4
B3QS5
B3QS6
B3R02
B3R03
MATRIX/ SAMPLER
Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff FB/ Adrian Steinhauff Trip Blank/ Adrian Steinhauff
CONC/ TfPB
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
ANALYSIS/ TURNAROUND
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TAG No./ PRESERVATIVE/Bottles
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
STATION LOCATION
GWM-01-3-R2
GWM-02-6-R2
GWM-04-1-R2
GWM-04-2-R2
GWM-04-3-R2
GWM-04-4-R2
GWM-04-5-R2
FB071406-MP
TB071406
SAMPLE COLLECT DATE/TIME
S: 7/14/2006
S: 7/14/2006
S: 7/14/2006
S: 7/14/2006
S: 7/14/2006
S: 7/14/2006
S: 7/14/2006
S: 7/14/2006
S: 7/14/2006
9:30
8:30
14:00
14:20
14:30
14:45
15:00
8:00
8:05
INORGANIC SAMPLE No.
MB3QP7
MB3QR0
MB3R02
QC Type
""
—
~
Field Blank
Trip Blank
ShipmentforCase Complete? N
Analysis Key:
T\/S1M = S O M O M -W-
Sample($) to be used for laboratory QC:
Concentration: L = Low, M = Low/IVIedium, H
VOA- 1 race & a m
= High
Additional Sampler Slgnature<i):
Type/Designate:- Composite = C. Grab = G
Chain of Custody Sai l Numbt r
TR Number: 2-092439248-071406-0003 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly. VA 20151-3819; Phone 703/818-4200; Fax
•, COP F2V5,1.047 Page 1 Of 1
o o o vo 00
Tm/O'l o yccno
^ p C ^ M S E P A Contract Laboratory Program ^ ^'^Brganic Traffic Report & Chain of Custody RecorSP
j Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID; PE
Site Name/State; Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action; Remedial Investigation
Sampling Co: CDM
Date Shipped:
Carrier Name;
Airbill:
Shipped to:
7/14/2006
FedEx
8540 8682 7576
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No:
DAS No:
Chain of Custody Record
Relinquished By, (Date / Time)
1 I /1/TK.,-,.- 'tV/i il,;:/,fj;i;.. 2 y • " u - • ' ' ' '
3
4
35508 • R Sampler U |i f Signature: K
Received By' •-' \ . .(Date/Time) |
t
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COaECT DATE/TIME
INORGANIC SAMPLE No.
QC
Type
B3QP7
B30RO
B3R02
Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
FB/ Adrian Steinhauff
L/G
L/G
L/G
ARO-W (21), PEST-W (21), SVSIM
(21) ARO-W (21),
PEST-W (21), SVSIM (21)
ARO-W (21), PEST-W (21), SVSIM
(21)
(Ice Only) (6)
(Ice Only) (6)
(Ice Only) (6)
GWM-01-3-R2 S: 7/14/2006 9:30 MB3QP7
GWM-02-6-R2 S: 7/14/2006 8:30 MB3QR0
FB071406-MP S: 7/14/2006 8:00 MB3R02 Field Blank
ShipmentforCase Complete? N
Analysis Key:
ARO-W = S O M O M - W -
Sample(s) to be used for laboratory QC: Additional Sampler Signature(8):
Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite = C Grab = G
Chain of Custody Seal Number:
Shipment Iced?
- 'CB, P E S I - W = SOM01-1 -W- Pesiticides, SVSIM = S U M O M -W- SVOA- LOW & SIM " 1
t j i o o o vo vo
TR Number: 2-092439248-071406-0002 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 P a g e l of 1 TAT /OH O AGfyn
^ E F ^ M ^ ^ ^ ^ Contract Laboratory Program Organic Traffic Report & Chain of Custody Recor B Case No:
DAS No:
35508 R JL
Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID;
Site Name/State;
Project Leader:
Action:
Sampling Co:
T
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff Remedial Investigation
CDM
Date Shipped: 7/17/2006
Carrier Name: FedEx
Airbill: 85716389 2630
Shipped to: A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Cha in of Cus tody Record
Relinquished By , (Date / Time)
1
Sampler ;/ Sigiature: / 1
Received By (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVe Bottles
STATION LOCATION
SAMPLE coaEcr DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QR4
B3QR5
B3QR6
B3QR7
B3QR8
B3QR9
B3QS0
B3QS1
B3QS7
B3QS8
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff
L/G
L/G
L/G
UG
L/G
L/G
L/G
L/G
L/G
L/G
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWM-03-1-R2 S: 7/17/2006 11:30
GWM-03-2-R2 S: 7/17/2006 11:50
GWM-03-3-R2 S: 7/17/2006 9:00 MB3QR6
GWM-03-4-R2 S: 7/17/2006 14:45
GWM-03-5-R2 S: 7/17/2006 15:05
GWM-03-6-R2 S: 7/17/2006 15:20
GWM-03-7-R2 S: 7/17/2006 15:35
GWM-04-1()-R2 S: 7/17/2006 15:45
GWM-04-6-R2 5:7 /17/2006 9:20
GWM-04-7-R2 S: 7/17/2006 10:00 MB3QS8
j ShipmentforCase Complete? N
Analysis Key:
TVSIM = S O M O M -W-
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium, H
VOA- 1 race & SIM
= High
Additional Sampler Slgnaturt<t);
Type/Designate: Composite = C Grab = G
Chain of Cuttody S«al Number:
Shipment Iced?
TR Number: 2-092439248-071706-0005 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly. VA 20151-3819; Phone 703/818-4200; Fax
P '
(A) O O H O O
F2V5.1.047 Page 1 of 2 T m IQA O AdCKn
^EF . | Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co;
jUSEPA Contract Laboratory Program j | ^ Brganic Traffic Report & Chain of Custody Recor^P
2
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff Remedial Investigation
CDM
Date Shipped: 7/17/2006
Carrier Name: FedEx
Airbill; 8571 6389 2630
Shipped to; A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
1
2
3
4
35508 • R Sampler Sigiature:
Received By (Date / Time) |
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COU.ECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QS9
B3QT0
B3R04
B3R05
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Field Blank/ Adrian Steinhauff Trip Blank/ Adrian Steinhauff
L/G TVSIM (21) (HCL) (4)
L/G TVSIM (21) (HCL) (4)
L/G TVSIM (21) (HCL) (4)
L/G TVSIM (21) (4)
GWM-04-8-R2
TB071706
S: 7/17/2006 15:00
GWM-04-9-R2 S: 7/17/2006 15:30
FBO71706-MP S: 7/17/2006 8:00 MB3R04
S: 7/17/2006 8:05
Field Blank
Trip Blank
ShipmentforCase Complete? N
Analysis Key:
TVSIM = S O M O M -W-
Sample(s) to be used tor laboratory QC:
Concentration: L = Low, M = Low/Medium, H =
VOA- I race & SIM
= High
Additional Sampler Slgnatur«<*):
Type/Dealgnate: Composite = C Grab = G
Cham of Custody S««l Numbw:
Shipment Iced?
o o O H
TR Number: 2-092439248-071706-0005 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 2 of 2 -rri'iiQA o A c n o
^ fCO^^^MSEPA Contract Laboratory Program j | ^ ^ ^ ^ ^ ^ ^ B r g a n i c Traffic Report & Chain of Custody RecoroBr
Region: 2
Project Code:
Account Code;
CERCLIS ID: NYSFN0204323
Spill ID; PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped; 7/17/2006
Carrier Name: FedEx
Airbill; 8571 6389 2630
Shipped to: A4 Scientific 1544 Savi^dust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: DAS No:
Chain of Custody Record
Relinquished By # (Date / Time)
1 n M .••^^hM.^^f. 2 / • • "
3
4
35508 g ^ Q
Sampler ;.. , . - ' " " \ ,;-'^ SI gnatur«^^./l,„^.=>''£L...... - - - ""'
Received By (Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COLLECT DATE/TIME
INORGANIC SAMPLE No.
QC
Type
B3QR6
B3QS8
B3R04
Ground Water/ Melissa Koberle
Ground Water/ Adrian Steinhauff Field Blank/ Adrian Steinhauff
L/G
L/G
L/G
ARO-W (21), PEST-W (21), SVSIM
(21) ARO-W (21),
PEST-W (21), SVSIM (21)
ARO-W (21), PEST-W (21), SVSIM
(21)
(Ice Only) (6)
(Ice Only) (6)
(Ice Only) (6)
GWM-03-3-R2 S: 7/17/2006 9:00 MB3QR6
GWM-04-7-R2 S: 7/17/2006 10:00 MB3QS8
FBO71706-MP S: 7/17/2006 8:00 MB3R04 Field Blank
ShipmentforCase Complete? N
Analysis Key:
ARO-W = S O M O M - W -
Sample(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium, H = High
rJCB, PES 1 -W = S O M O M -W- Pesiticides, SVSIM =
Additional Sampler Sign'Mure(5): ..
Type/Designate: Composite = C
- SOM01-1 -W- SVOA- LOW & SIM
Grab = G
Chain of Custody Seal Number:
Shipment Iced?
LO O O H O to
TR Number: 2-092439248-071706-0006 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 Of 1 i n ' i l Q A O ACry' i
i
^ F P ^H'SEPA Contract Laboratory Program ^ ^ • *^W)rganic Traffic Report & Chain of Cus
1
1 Region: 2
1 Project Code:
Account Code:
CERCLIS ID: MYSFN0204323
Spill ID: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped:
Carrier Name:
Airbill:
Shipped to:
tody RecorUP
7/18/2006
FedEx
8571 6389 2700
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 . (281)292-5277
Case No: DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
^yW"\..-- :?^fM iw 2
3
4
35508
.-i . / / Sampler / / i y ' ' Signature: /..' i^ --"
Received By
• R (Date / Time)
ORGANIC SAMPLE No.
MATRIX/
SAMPLER
CONC/
TYPE
ANALYSIS/
TURNAROUND
TAG No./
PRESERVATIVE/Bottles
STATION
LOCATION
SAMPLE COU.ECT
DATE/TIME INORGANIC SAMPLE No.
QC
Type
B3QT7
B3QX3
B3QX5
B3QX6
B3QX7
B3QX8
B3QZ0
B3R06
B3R07
Ground \/\la\erl Adrian Steinhauff Ground Water/ Melissa Koberle
Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Adrian Steinhauff Trip Blank/ Adrian Steinhauff
L/G
L/G
L/e
L/G
L/G
L/G
L/G
L/G
L/G
L/G
TVSIM (21)
TVSIM (21)
¥V8!M (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
(HCL) (4)
(HCL) (4)
mm m
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWM-05-6-R2 S: 7/18/2006 11:00 MB3QT7
GWM-08-1-R2 S: 7/18/2006 15:30
ewMiQSiacRi) si ^/le/aeee isige
GWM-08.3-R2 S: 7/18/2006 16:05
GWM-08-4-R2 S: 7/18/2006 10:00 MB3QX6
GWM-08-5-R2 S: 7/18/2006 16:10
GWM-08-6-R2 S: 7/18/2006 16:25
GWM-18-4-R2 S: 7/18/2006 12:00 MB3QZ0
FB071806-MP S: 7/18/2006 8:00 MB3R06
TB071806 S: 7/18/2006 8:10
Field Duplicate
Field Blank
Trip Blank
ShipmentforCase Complete? N
Analysis Key:
TVSIM = S O M O M -W-
Sample(s) to be used fc)r laboratory QC:
Concentration: L = Low, IV! = Low/Medium, H
VOA- 1 race (4 b i M
= High
Additional SamplcE r SlgnatLire(s):
Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Shipment Iced?
TR Number: 2-092439248-071806-0006 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC. 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax -fnniQ-i Q ^crto
8 ' ^ ' kn^i^ ^ ^ f l
F2V5.1.047 Page 1 of 1
o o H o
(« * * ^ r ^ ^ ( X ^ I ^ ^ P A Contract Laboratory Program ^ ^ ^^Prgan ic Traffic Report & Chain of Custody Recorii^p
Case No: DAS No:
35508
• R Region;
Project Code;
Account Code:
CERCLIS ID:
Spill ID;
Site Name/State;
Project Leader:
Action:
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped; 7/18/2006
Carrier Name: FedEx
Airbill: 8571 6389 2700
Shipped to: A4 Scientific ; 1544 Sawdust Road ' Suite 506
The Woodlands TX 77380 (281)292-5277
C h a i n o f C u s t o d y R e c o r d
ReiinquisheKTBy- (Date/Tlme)
1 i it^:. ^ / ?:•"* / - / ' t r y -
Sampler Signature:
Received By • ' ( . / '
/ . - • • • • • •
(Date / Time)
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE c o a E a DATEmME
INORGANIC SAMPLE No.
QC Type
B3QT7
B3QX6
B3R06
Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Field Blank/ Adrian Steinhauff
L/G
L/G
L/G
ARO-W (21), PEST-W (21), SVSIM
(21) ARO-W (21),
PEST-W (21), SVSIM (21)
ARO-W (21), PEST-W (21), SVSIM
(21)
(Ice Only) (6)
(Ice Only) (6)
(Ice Only) (6)
GWM-05-6-R2 S: 7/18/2006 11:00 MB3QT7
GWM-08-4-R2 S: 7/18/2006 10:00 MB3QX6
FB071806-MP S: 7/18/2006 8:00 MB3R06 Field Blank
ShipmentforCase Complete? N
Sample(s) to be used for laboratory QC: Additional Sampler Signaturf<i);
ni t i
Chain of Custody S«al Number: U O O H O Concentration: L = Low, M = Low/Medium, H = High Type/De«lgn«e: Composite * C. Grab = G Analysis Key;
ARO-W = S O M O M - W - P L ; B , P b S I - W = S O M O M -W- Pesiticides, SVSIM = SOMtJI - l -W- biVUA- LOW & SIM
Shipment Iced?
TR Number: 2-092439248-071806-0001 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr.. Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 o f 1 Tm/o-to >(cm
l ^ E F ^ t ^ ^ ^ ^ Contract Laboratory Program ga^ ^^R-ganic Traffic Report & Chain of Custody Record^P
Region: 2
Project Code:
Account Code:
CERCLIS ID; NYSFN0204323
Spill ID: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
'oate Shipped: 7/18/2006
Carrier Name: FedEx
Airbill: 8571 6389 2700
Shipped to: A4 Scientific 1544 Sawdust Road
1 Suite 506 i The Woodlands TX 77380
(281)292-5277
Case No: DAS No;
Chain of Custody Record
Relinquished By (Date / Time)
^ t- 'K ..--rilMJ )i: 2
3
4
35508
Sarnpler ,7,( Sl^ature: // ' V
Received By
• R /o'.
(Date / Time)
2 • • •
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/Bottles
STATION LOCATION
SAMPLE COU.Ea DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QZ0 Groundwate r / L/G ARO-W (21), (Ice Only) (6) Melissa Koberle PEST-W (21), SVSIM
(21)
GWM-18-4-R2 S: 7/18/2006 12:00 MB3QZ0 Field Duplicate
ShipmentforCase Complete? N
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s): ^ . • • • ^ s i
Chain of Custody Seal Number:
o O M O Ul
Concentration; L = Low, M = Low/Medium, H = High Type/Desjlgnate; Composite = C, Grab = G Analysis Key:
ARO-W = SOMOM-W-P(JB , P t S I - W = SOMOI- I -W- Pesiticid.es, SVSIM = SOM01-1 -W- SVOA- LOW & SIM
Shipment Iced?
TR Number: 2-092439248-071806-0002 PR provides preliminary results. Requests for preliminary results will increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax •^nolQ^ o ^crto
F2V5.1.047 Page 1 o f 1
O'EF^^ Region:
Project Code:
Account Cods:
CERCLIS ID:
Spill 10:
Site Name/State:
Project Leader:
Action:
Sampling Co:
fefiEPA Contract Laboratory Program J ^ Vrganic Traffic Report 8i Chain of Custody R e c o r d ^
• . • 1
2
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM ^
bate Shipped: 7/19/2006
[Carrier Name: FedEx
Airbill: 8571 6389 2711
Shipped to; A4 Scientific • 1544 Sawdust Road Suite 506 The Woodlands TX 77380
' (281)292-5277
Case No:
DAS No;
Chain of Custody Record
Rellnguished By (Date / Time)
••' '-•- «'• -' ••^ili'MGi .P IS -2
3
4
35508
s ...
Sampler I i/ Signature: ^ v - ^ '
Received By
• R ..•-• '•• ' - ?
(Date/Time)
}.
ORGANIC SAMPLE Nc,
WATRIX/ SAMPLER
CONC/ rv-PE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COLLECT DATE/TIME
INORGANIC SAMPLE No.
QC Type
B3QW2
B3QW3
B3QW4
B3QW6
B3R08
B3R09
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Adrian Steinhauff Trip Blank/ Adrian Steinhauff
L/G
L/G
L/G
L/G
L/G
L/G
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
GWM-06-2-R2
TB071906
S: 7/19/2006 9:35
GWM-06-3-R2 S: 7/19/2006 9:50
GWM-06-4-R2 S: 7/19/2006 10:05
GWM-06-6-R2 S: 7/19/2006 10:30
FB071906-MP S: 7/19/2006 8:00
S; 7/19/2006 8:10
Field Blank
Trip Blank
ShipmentforCase Complete ?N
Analysis Key:
TVSIM = S O M O M -W-
Sampie(s) to be used for laboratory QC:
Concentration: L = Low, IVI = Low/Medium, H =
VUA- 1 race i i a m
•- High
Additional Samiiler Slgnature(s):
Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Shipment Iced?
TR Number: 2-092439248-071906-0001 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to: Sample Management Office, Attn; Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax
o o H o o^
F2VS.1.047 Page 2 of 2 •ym/o-i Q ^cno
g % SP«-fr)
Region:
Project Code:
Account Code
CERCLIS ID:
Spill ID:
gP EPA Contract LaIsoratory Program i ^Urganic Traffic Report & Cliain of Custody Record
2
NYSFN0204323
PE
Site Name/State: Old Roosevelt Field - GWR2/NY
E Project Leader
3 Action;
Sampling Co:
ORGANIC SAMPLE No,
B3QT1
B3QT2
B3QT3
B3QT4
B3QT5
B3QT6
B30T8
B3QT9
B3QW0
B3QW1
ShipmentforCase Complete? N
I Analysis Key:
8
• Adrian Steinhauff
Remedial Investigation
CDM
MATRIX; CONC/ SAMPLER TYPE
Ground Water/ L/G Adrian Steinhauff Ground Water/ L/G Adrian Steinhauff Ground Water/ L/G Adrian Steinhauff Ground Water/ L/G Adrian Steinhauff Ground Water/ L/G Adrian Steinhauff Ground Water/ L/G Adrian Steinhauff Ground Water/ U G Adrian Steinhauff Ground Water/ U G Adrian Steinhauff Ground Water/ U G Adrian Steinhauff Ground Water/ U G Melissa Koberle
TVSIM = S O M O M -W-
ANALYSIS/ TUI9IAR0UND
n/SIM(21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
TVSIM (21)
Sample(8) to be used for laboratory QC:
Concentration: L =
VOA- 1 race Ik a m
Low, M = Low/Medium,
Data Shipped: 7/19/2006
m w Carrier Name: FedEx
Airbill: 85716389 2711
Shipped to; A4 Scientific 1544 Sawdust Road Suite 506
The Woodlands i A / r oou (281)292-5277
TAG No./ PRESERVATIVB Bottles
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
(HCL) (4)
Case No: 35S08 g j ^ [ ^
DAS No: ^ ^ r V
Chain of Custody Record
Relinquished By
1
^
3
\ f V? ...
// f i-'
(Date / Time)
•^i m.... fn
4
STATION LOCATION
GWM-05-10-R2
GWM-05-1-R2
GWM-05-2-R2
GWM-05-3-R2
GWM-05-4-R2
GWM-05-5-R2
QWM-05-7-R2
GWM-05-8-R2
GWM-05-9-R2
GWM-06-1-R2
Additional Sampler Signa(uf«<*):
1
H = High Type/D«lfln«te:
• ' '
Sampler / # J. .J—-. .
Sigiature: f , 4 / - \ /
Received By "" (Date/Time)
'.t
SAMPLE COaECT INORGANIC QC DATE/TIME SAMPLE No. Type
S: 7/19/2006
S; 7/19/2006
S: 7/19/2006
S: 7/19/2006
S; 7/19/2006
S; 7/19/2006
S: 7/19/2006
S: 7/19/2006
S; 7/19/2006
S: 7/19/2006
Composite *' C, Grab = G
16:30
9:30
15:45
10:15
10:45
11:00
11:25
11:45
15:00 - •
9:20
Chain of Custody S M I Number
Shipment lead?
1
o o o
TR Number: 2-092439248-071906-0001 PR provides preliminary results. Requests for preliminary results will Increase analytical coalt. Send Copy to: Sample Management Office, Attn; Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax - tn t i o io Aisri"^
F2V8.1.047 Page 1 of 2
^ p p ^ M J S E P A Contract Laboratory Program )rganic Traffic Report & Chain of Custody Reco
Case No:
DAS No:
35508
Region: 2 j
Project Code: j
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID: PE
Site Name/State; Old Roosevelt Field - GWR2/NY
Project Leader; Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped: 7/20/2006
Carrier Name; FedEx
Airbill: 8580 3038 1642
Shipped to: A4 Scientific - 1544 Sawdust Road
Suite 506 The Woodlands TX 77380 (281)292-5277
Chain of Custody Record
Relinquished By ^ (Date / Time)
'MLs::: ^ =?-Md.niyfo 2
3
4
Sljiature: 7 f j> , i r , - - - *W_._ , .
Received By (Date / Time)
ORGANIC SAMPLE No.
B3QW5
B3R10
B3R11
MATRIX/ SAMPLER
Ground Water/ Melissa Koberle
Field Blank/ Adrian Steinhauff Trip Blank/ Adrian Steinhauff
CONC/ TYPE
L/G
L/G
L/G
ANALYSIS/ TURNAROUND
TVSIM (21)
TVSIM (21)
TVSIM (21)
TAG No./ PRESERVATIVE/ Bottles
(HCL) (4)
(HCL) (4)
(HCL) (4)
STATION LOCATION
GWM-06-5-R2
FB072006-MP
TB072006
S:
S:
S:
SAMPLE COllECT DATEmME
7/20/2006
7/20/2006
7/20/2006
9:00
8:00
8:10
INORGANIC SAMPLE No.
MB3QW5
MB3R10
QC Type
—
Field Blank
Trip Blank
ShipmentforCase Complete 7 Y
Analysis Key: . TVSIM = SOM01-1 -W-
Sampie(s) to be used for laboratory QC:
Concentration: L = Low, M = Low/Medium. H
VOA-T race & SIM
= High
AddHionil Sampler Slgnatur*<t):
Typ«/De»lgnate: Composite = C. Grab = G
Chain of CiMtody S M I Numbtr:
Shipment Iced?
o o H O 00
TR Number: 2-092439248-072006-0003 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V5.1.047 Page 1 of 1
-7r>o/o-tQ ^cno
^ C t X ^ S E P A Contract Laboratory Program | ^ ^ ^ r g a n i c Traffic Report & Chain of Custody FlecoriV
Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped:
Carrier Name:
Airbill:
Shipped to:
7/20/2006
FedEx
8580 3038 1642
A4 Scientific 1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No: DAS No:
Chain of Custody Ret»Fd
Relinquished By _ (Date/Time)
W^i- - ilGU klr 2
3
4
35508
Sampler " \ - ^ ^ Sigiature; \ Z^-
Received By
• R (Date / Time)
t-
ORGANIC SAMPLE No.
B3R10
MATRIX/ SAMPLER
Field Blank/ Adrian Steinhauff
CONC/ TYPE
L/G
ANALYSIS/ TAG No./ TURNAROUND PRESERVATIVE/ Bottles
ARO-W (21). (Ice Only) (6) PEST-W (21), SVSIM
(21)
STATION LOCATION
FB072006-MP
SAMPLE COLLECT DATEmME
S: 7/20/2006 8:00
INORGANIC SAMPLE No.
MB3R10
QC Type
Field Blank
ShipmentforCase Complete ?Y
Analysis Key:
ARO-W = SOM01-1-W-
Sample(s) to be used for laboratory QC: Addltlofial Sampler Slgnature(s):
Concentration: i = Low, M = Low/Medium, H = High Type/Designate: Composlte^C. Grab = G
Chain of Custody Seal Number:
Shipment Iced?
k y , PbSl-W = SOM01-1 -W- Pesilicides, SVSIM = SOMOM -W- SVOA- LOW & SIM i
o o H o vo
TR Number: 2-092439248-072006-0001 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to; Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2V6.1.047 Page 1 of 1 -7ni/ !no .inn-)
^ P P ^ ^ , ^ ^ E P A Contract Laboratory program j ^ ^ ^ ^ ^ ^ ^ R - g a n i c Traffic Report & Ch^in of Custody RecorcflP
Region: 2
Project Code:
Account Code:
CERCLIS ID; NYSFN0204323
Spill ID: PE
Site Name/State: o l d Roosevelt Field - GWR2/NY
Project Leader; Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped:
ICarrier Name:
;Airblll;
Shipped to:
7/20/2006
FedEx
8580 3038 1642
A4 Scientific .1544 Sawdust Road Suite 506 The Woodlands TX 77380 (281)292-5277
Case No:
DAS No:
Chain of Custody Record
Relinquished By . (Date / Time)
< m : i ^ ' ^ ^- r^' - • » > - , — « f t MktlrP^' 2
3
4
35508 1 ^ n
Sampler " \ ; z ; ^ : ^ J Signature: W , . ' • ^ '«™- . - " " '—~—""—
Received By (Date / Time)
,
ORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COaECT DATEmME
INORGANIC SAMPLE No.
QC Type
B3QW5 Groundwater / L/G ARO-W (21), (ice Only) (14) Melissa Koberle PEST-W (21), SVSIM
(21)
GWM-06-5-R2 S: 7/20/2006 9:00 MB3QW5
ShipmentforCase Complete? Y
Analysis Key:
ARO-W = SOMOI- I -W-
Sample(s) to be used for laboratory QC:
B3QW5
Concentration: L = Low, M = Low/Medium, H = High
MCb, PbS I'-W = S O M O M -W- Pesiticides, SVSIM =
AddHlonal ^ampler Slgn«tui«<«): /
Type/Designate: ; , Composite = C. Grab =
= S U M O M -W- SVUA- LUW & SIM
— . - ^ " "
= G Shipment Iced?
u> o o H H o
TR Number: 2-092439248-072006-0002 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax •rno/O'io Aiir\n
F2V5.1.047 Page 1 of 1
ATTACHMENT II
INORGANIC CHAIN OF CUSTODY RECORDS
300111
& E P t ^ ^ ^ ^ Contract Laboratory Program g ^ * ^Rorganic Traffic Report & Chain of Custody RecoflP
Region: 2
Project Code:
Account Code:
CERCLIS ID; NYSFN0204323
Spill ID: p g
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action; Remedial Investigation
Sampling Co; CDM
Date Shipped: 7/10/2006
Carrier Name: FedEx
Airbill; 8540 8717 4031
Shipped to: Liberty Analytical Corporation 501 Madison Avenue Gary NC 27513 (919)379-4080
Case No: 35508 ^ ^ Q DAS No: ^ I r r \
Chain of Cus tody Record
JRellnquished By , (Date / Time)
••^••^-M<-' ••7!lcUi. M V
2
3
4
Sampler r"""- . .,/" Sigiature: 'T / / ^ '
Received By (Date / Time)
INORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COLLEa DATEmME
ORGANIC SAMPLE No.
QC Type
MB3QX9
MB3QY0
MB3QY1
MB3QY3
MB3QY5
MB3QY6
MB3QZ1
MB3QZ3
I ' " " " • . • ^ • '
(; ' • . ' '<
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Ground Water/ Adrian Steinhauff Ground Water/ Adrian Steinhauff Field Blank/ Melissa Koberle
Ground Water/ Adrian Steinhauff
i\ ':- --. -•J ,..-. P^ ^ • '-". .
L/G
L/G
L/G
L/G
L/G
L/G
L/G
L/G
CYANIDE-W(21), ICPAES-W*(21)
CYAN1DE-W(21), ICPAES-W*(21)
CYANIDE-W(21), 1CPAES-W*(21)
CYAN1DE-W(21), ICPAES-W*(21)
CYANIDE-W(21), ICPAES-W*(21)
CYAN1DE-W(21), 1CPAES-W(21)
CYANIDE-W(21), 1CPAES-W*(21)
CYANIDE-W(21), IGPAES-W*(21)
(HN03), (NaOH) (4)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
GWP-10-R2 S: 7/10/2006 10:40
GWP-11-R2 S: 7/10/2006 11:10
GWP-21-R2 S: 7/10/2006 11:25
GWX-10020-R2 S: 7/10/2006 12:50
GWX-8474-R2 S: 7/10/2006 13:30
GWX-8475-R2 S: 7/10/2006 14:00
FB071006-GP - S: 7/10/2006 9:15
GWX-8068-R2 S: 7/10/2006 15:30
B3QX9
B3QY0
B3QY1
B3QY3
B3QY5
B3QY6
B3QZ1
B3QZ3
~
-
Field Duplicate
-
-
-
Field Blank
^'•^, jv^. V J ' ^ V ' - - - ' * ^ • \
•-A -">>5rA.VKv.C>?:: --- s ' Z . A vxC ShipmentforCase Complete? N
Sample(s) to be used for laboratory QC:
MB3QX9
Additional Satnpfer Si9aature(s):
/7c.. . - - ' ••••-L
Type/Designate: Composite = C,4rab = G
Chain of Custody Seal Number: IA) O O H M to
Analysis Key Concentration; L = Low, M = Low/Medium. H = High
CYANIDE-W = ILM05.3 C N ; i C P A t S - W - = ILM05.3 W- Metals,hlg- ICPAES i i ICPMS f
Shipment Iced?
TR Number: 2-092439248-071006-0003 PR provides preliminary results. Requests for preliminary results will Increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax Tno/o^o >icr\-)
F2V5.1.047 P a g e l Of 1
i ^ C C ^ ^ | S E P A Contract Laboratory Program g ^ ^ '^^Rorganic Traffic Report & Chain of Custody RecotV
Region-. 2
Project Code;
Account Code:
CERCLIS ID: NYSFN0204323
Spill ID; PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action; Remedial Investigation
Sampling Co: CDM
Date Shipped:
Carrier Name:
Airbill:
Shipped to:
7/11/2006
FedEx
8571 6389 2538
Liberty Analytical Corporation 501 Madison Avenue Gary NC 27513 (919)379-4080
Case No: 35508 ^ ^ D DAS No: ^ ^ • ^
Cha in o f Cus tody Record
Re|fpquijrtied By (Date /^Tlme)
Sampler / I , / / y
Received By (Date / Time)
M A im^m-<? 2
3
4
INORGANIC SAMPLE No.
IMATRIX/ SAMPLER
CONC/
TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COILECT DATEmME
ORGANIC SAMPLE No.
QC
Type
MB3QY2
MB3QY4
MB3QY8
MB3QZ4
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Melissa Koberle
L/G
L/G
L/G
L/G
CYANIDE-W (21), 1CPAES-W*(21)
CYANIDE-W (21), ICPAES-W*(21)
CYAN1DE-W(21). 1CPAES-W*(21)
CYANIDE-W (21), 1CPAES-W*(21)
(HN03) , (NaOH) (2)
(HN03) , (NaOH) (2)
(HN03) , (NaOH) (2)
(HN03) , (NaOH) (2)
GWX-10019-R2 S: 7/11/2006 10:40 B3QY2
GWX-10035-R2 S: 7/11/2006 14:15 B3QY4
GWX-9966-R2 S: 7/11/2006 17:05 B3QY8
FB071106-GP S: 7/11/2006 7:30 B3Q24 Field Blank
,.••% , f r ^ . L\
tt^X , r ^^>^A) j
k:DQ\Q.^nl\XAy\\ VV^ONIJLV
Y\V\<TNor\vj^ J t^^C:^\>jC.j^ 0 ^ ' > V ^ ^ ^ x j - s A .v:u • • ^ J ^ V ^ ^ ^ s f V ' ^
ShipmentforCase Complete? N
Analysis Key:
CYANIDE-W = ILM05.3
V • • — - — »
Sample(s) to be used for laboratory QC: '*—- ' v.
Additional Sampler Slgnature(s):
Concentration: L = Low, IVI = Low/Medium, H = High Type/Designate: Composite = C, Grab = G
CN, ICPAES-W = ILMOb.3 W-Metals.Hg-ICPAtS & ICPMS f
• -
Chain of Custody Seal Number:
Shipment Iced?
LO O O H H LO
TR Number: 2-092439248-071106-0003 PR provides preliminary results. Requests for preliminary results will Increase analytical costs. Send Copy to: Sample Management Office, Attn; Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax F2VS.1.047 Page 1 of 1
•7r^^/o^ o Acnn
^EfA Region:
Project Code:
Account Code:
CERCLIS ID;
Spill ID:
Site Name/State:
Project Leader;
Action:
Sampling Co:
ftfiEPA Contract Laboratory Program J |k anorganic TYaffic Report & Chain of Custody Reconr
2
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff Remedial Investigation
CDM
Date Shipped:
Carrier Name;
Airbill:
Shipped to;
7/12/2006
FedEx
8571 6389 2593
Liberty Analytical Corporation 501 Madison Avenue Gary NC 27513 (919)379-4080
Case No: DAS No:
Chain o f Cus tody Record
Relinquished By (Date / Time)
' M^y :7/f/S/r£. 2
3
4
35508 ^ 1 ^ Q
Sampler | / 1 ^ ' 1 Signature: f K ^ \ % / _ . . ,
Received By (Date / Time)
INORGANIC SAMPLE No.
MB3QW8
MB3QY7
MB3QY9
MB3Q27
MB3QZ8
MATRIX/ SAMPLER
Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Melissa Koberle
Field Blank/ Adrian Steinhauff
CONC/ TYPE
L/G
L/G
L/G
L/G
L/G
ANALYSIS/ TURNAROUND
CYAN1DE-W(21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
CYAN1DE-W(21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
TAG No./ PRESERVATIVE/ Bottles
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
(HN03) , (NaOH) (2)
(HN03) , (NaOH) (2)
(HN03), (NaOH) (2)
STATION LOCATION
GWM-07-2-R2
GWX-9398-R2
GWX-9973-R2
FB071206-GP
FB071206-MP
S:
S:
S:
S:
S:
SAMPLE COLLECT DATEmME
7/12/2006
7/12/2006
7/12/2006
7/12/2006
7/12/2006
9:30
10:30
15:45
7:45
8:00
ORGANIC SAMPLE No.
B3QW8
B3QY7
B3QY9
B3QZ7
B3QZ8
QC Type
~
~
Field Blank
Field Blank
ShipmentforCase Complete? N
Analysis Key:
CYANIDE-W = ILM05.3
Sample(s) to be used for laboratory QC: Additional Sampler Slgnaturt<t):
Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Composite « C, Grab = G
CN, ICPAbS-W" = ILMUb.3 W- Metals,Hg- ICPAbS i i ICPMS f
Chain of Cuttody Saal NumiMr
Shipment Iced?
o o M H
TR Number: 2-092439248-071206-0003 PR provides preliminary results. Requests for preliminary results will Increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center D r . Chanfilly, VA 20151-3819; Phone 703/818-4200; Fax
IK;^ 7 m / o H O Acnn
iior^ COPY F2V5.1.047 Page 1 of 1
r/EPA Region;
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State:
Project Leader:
Action:
Sampling Co;
JB|A Contract Laboratory Program ^ j k I m ^ a n i c Traffic Report & Chain of Custody Record ^ W
2
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped: 7/14/2006
Airbill: 8540 8682 7598
Shipped to: Liberty Analytical Corporation 501 Madison Avenue Gary NC 27513 (919)379-4080
Case No:
DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
^ M .i -1 \ Mifii. fl 2 - '•
3
4
35508 ^ 1
/ .-1 .
Sampler • i ; | (/ Sigiature; \ ^ / V . > " ' -
Received By' (Date/Time)
J
INORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC; T7PE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVe Bottles
STATION LOCATION
SAMPLE COaECT DATEmME
ORGANIC SAMPLE No.
QC Type
«1B3QP7
1/1B3QR0
*1B3R02
Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
FB/ Adrian Steinhauff
L/G
L/G
L/G
CYANIDE-W (21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
GWM-01-3-R2 S: 7/14/2006 9:30
GWM-02-6-R2 S: 7/14/2006 8:30
FB071406-MP S: 7/14/2006 8:00
B3QP7
B3QR0
B3R02 Field Blank
ShipmentforCase Complete? N
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s):
.•j:-.-fl.-',V i .• \
Chain of Custody Seal Number: U) O O H H UI
Analysis Key: Concentration: L = Low, M = Low/Medium, H = High Type/Designate: Cbmpo ite = C, Grab = G
CYANIDE-W = 1LM05.3 CN, ICPAbS-W = ILM06.3 W- Metals.Hg- ICPAhS & ICPMS t — '
Shipment Iced?
R Number: 2-092439248-071406-0004 R provides preliminary results. Requests for preliminary results will increase analytical costs.
end Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax lo/o-to xcno
F2V5.1.047 Page 1 of 1
^ C p ^ U S E P A Contract Laboratory Program ^Wio loi^anic TrafHc Report & Chain of Custody Reo oWP
r
r Case No:
DAS No:
35508
Region:
Project Code:
Account Code;
CERCLIS ID:
Spill ID;
Site Name/State:
Project Leader;
Action:
Sampling Co:
NYSFN0204323
PE
Old Roosevelt Field - GWR2/NY
Adrian Steinhauff
Remedial Investigation
CDM
Date Shipped: 7/17/2006
Carrier Name; FedEx
Airbill; 8571 6389 2652
Shipped to: Liberty Analytical Corporation 501 Madison Avenue Gary NC 27513 (919)379-4080
Chain of Custody Record
RellnciUished By . . (Date / Time) 1 ('« t t f ^ T' -
/ i mdr^
Sampler Sigiature:
Received By
^C_
INORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG No./ PRESERVATIVE/ Bottles
STATION LOCATION
SAMPLE COLLECT DATEmME
ORGANIC SAMPLE No.
QC Type
MB3QR6
MB3QS8
MB3R04
Ground Water/ Melissa Koberle
Ground Water/ Adrian Steinhauff Field Blank/ Adrian Steinhauff
L/G
L/G
L/G
CYANIDE-W (21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
(HN03) , (NaOH) (2)
(HN03), (NaOH) (2)
(HN03), (NaOH) (2)
GWM-03-3-R2
GWM-04-7-R2
FBO71706-MP
S: 7/17/2006 9:00
S: 7/17/2006 10:00
S: 7/17/2006 8:00
B3QR6
B3QS8
B3R04 Field Blank
\ /' ) .,..v,f.=-,.' ';-^-—-V\-'Vr,."''v,^->K,.'-C^ ^•-:^^--:^'"';-^\V>..^^^^^ v..... l \ f :SG.v-u_ Cl LC :> - ^ ^ ' - - ' - ' v> - - ^ r
ShipmentforCase Complete? N
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s):
A / / ' /
Chain of Custody Seal Number:
O O H H Analysis Key: Concentration: L = Low, M = Low/IVIedium, H = High Type/Designate: CompoW<H5rGtafe^G
CYANIDE-W = 1LM05.3-CN, I C P A t S - W ' = ILM05.3 W- Metals,Hg- ICPAES & ICPMS f ^
Shipment Iced?
TR Number: 2-092439248-071706-0002 PR provides preliminary results. Requests for preliminary results will Increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax -7m/o-i o >(em
F2V5.1.047 Page 1 Of 1
^ F P ^USEPA Contract Laboratory Program g ^ *^^Riorganic Traffic Report & Chain of Custody R e c J V
Region: 2
Project Code;
Account Code:
CERCLIS ID; NYSFN0204323
Spill ID: PE
Site Name/State: o l d Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co; CDM
Date Shipped; 7/18/2006
Carrier Name; FedEx
Airbill: 8571 6389 2685
Shipped to: Liberty Analytical Corporation 501 Madison Avenue Gary NC 27513 (919)379-4080
Case No:
DAS No:
Chain of Custody Record
Relinquished By (Date / Time)
^ (i-iy^:^'-f7-/!mfj6 2 ^ ""
3
4
35508
1
Sampler t Z^': Sigiature: / \ ( /
Received By
• R (Date / Time).'
INORGANIC SAMPLE No.
MATRIX/
SAMPLER
CONC/
TYPE
ANALYSIS/
TURNAROUND
TAG No./
PRESERVATIVE/ Bottles
STATION
LOCATION
SAMPLE COLLECT
DATEmME ORGANIC
SAMPLE No.
QC Type
MB3QT7
MB3QX6
MB3QZ0
MB3R06
Ground Water/ Adrian Steinhauff Ground Water/ Melissa Koberle
Ground Water/ Melissa Koberle
Field Blank/ Adrian Steinhauff
L/G
L/G
L/G
L/G
CYAN1DE-W(21), 1CPAES-W*(21)
CYANIDE-W (21), 1CPAES-W*(21)
CYAN1DE-W(21), ICPAES-W* (21)
CYANIDE-W (21), ICPAES-W* (21)
(HN03) , (NaOH) (2)
(HN03) , (NaOH) (2)
(HN03) , (NaOH) (2)
(HN03) , (NaOH) (2)
GWM-05-6-R2 S; 7/18/2006 11:00 B3QT7
GWM-08-4-R2 S: 7/18/2006 10:00 B3QX6
GWM-18-4-R2 S: 7/18/2006 12:00 B3QZ0
FB071806-MP S: 7/18/2006 8:00 B3R06
Field Duplicate
Field Blank
N • ^ ' " -
•••• ; • ; • • •J- ' V y.
,-i;- V..-'--J~.S - - . . v j
X i:^AX.,A
\V^ .S5>-
\
S •S^^.::L...A c3..o^y^-^^-
ShipmentforCase Complete? N
Analysis Key:
CYANIDE-W = ILM05.3
Sampie(s) to be used for laboratory QC: Additional Sa|npier Signature(8):
Concentration: L = Low. M = Low/Medium, H = High Type/Designate; Composite = C, Grab = G
CN, ICPAtS-W' = ILM05.3 W- Metals,H)g- ICMAbS & ICPMS t
Chain of Custody Seal Number:
Shipment Iced?
o o I-* H -J
TR Number: 2-092439248-071806-0003 PR provides preliminary results. Requests for preliminary results will increase analytical costs. Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chantilly, VA 20151-3819; Phone 703/818-4200; Fax -7m/oHO >tcm
F2V5.1.047 Page 1 of 1
^ ^ p . ^ | U S E P A Contract Laboratory Program ^ ^ ^ i no rgan i c Traffic Report & Chain of Custody R e c ^ r
Region: 2
Project Code:
Account Code:
CERCLIS ID: NYSFN0204323
Spill !D: PE
Site Name/State: Old Roosevelt Field - GWR2/NY
Project Leader: Adrian Steinhauff
Action: Remedial Investigation
Sampling Co: CDM
Date Shipped: 7/20/2006
Carrier Name; FedEx
Airbill: 8580 3038 1675
Shipped to: Liberty Analytical Corporation 501 Madison Avenue Gary NC 27513 (919)379-4080
Case No: DAS No;
Chain of Custody Record
Reiinq>ifsj^d By (Date / Time)
• • r :gn „^ - r ^ - M C / m 2
3
4
35508
Sampler ' y ^ ~ - ^ Signature: ''' " '
Received By
• R ^ ; _ . . _
(Date / Time)
INORGANIC SAMPLE No.
MATRIX/ SAMPLER
CONC/ TYPE
ANALYSIS/ TURNAROUND
TAG NoJ PRESERVATIVE/Bottles
STATION LOCATION
SAMPLE COLLECT DATEmME
ORGANIC SAMPLE No.
QC Type
MB3QW5
MB3R10
Ground Water/ Melissa Koberle
Field Blank/ Adrian Steinhauff
L/G
L/G
CYAN1DE-W(21), ICPAES-W* (21)
CYANIDE-W (21), 1CPAES-W*(21)
(HN03), (NaOH) (4)
(HN03), (NaOH) (2)
GWM-06-5-R2 S: 7/20/2006 9:00
FB072006-MP S: 7/20/2006 8:00
B3QW5
B3R10 Field Blank
ShipmentforCase Complete? Y
Analysis Key:
CYANIDE-W = ILM05.3
Sample(s) to be used for latioratory QC:
MB3QW5
Additional Sampler Slgnalurait);
''r:'•'•-'" < . . ' f Concentration: L = Low, M = Low/Medium, H = High Type/Designate: CSmposite * C.^Qnb«G
CN, l(;PAbS-W" = ILM05.3 W- Metals.Hg- ICPAbS & ICPMti f
Chain of CMtody Seal Numbar.
Shipment Iced?
o o H H 00
TR Number: 2-092439248-072006-0006 PR provides preliminary results. Requests for preliminary results will Increase analytical costs.
Send Copy to: Sample Management Office, Attn: Heather Bauer, CSC, 15000 Conference Center Dr., Chanfilly, VA 20151-3819; Phone 703/818-4200; Fax Tno/o-to / t cm
F2V5.1.047 Page 1 o f 1