DEP GCMS data table, Jan-Feb 2002

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM ...*ASC0%, . sovcom WESTCHESTER COUNTY LABORATORIES AND RESEARCH o.* 2 Dana Road, Valhalla, New York 10595 (914)231-1620 Fax (914) 231-1772 seNCe • La—DSaEsriSI X NYS-ELAP No. 10108 Time/Date Set: Form A-70 (rev.10/01)

Sample Type (circle one): 6 tt, < s" , so, 4 /175 1Potable 3. Non Potable Treated RBottleQ,245124/si0, 0785, 77 7 # s:___________________________________ 2. Non Potable 4. Other. Chain of Custody? Yes No Time/Date Collected:5 C I 20-C& Comments: Collected By: D, 3eTs cl Agency Code: PWS #:________ Source ID: Type Descriptor: Collected From: Bill to: Location's/Individual's Name Nd D60 Name/Company Street i { L C h * — I- e Oi i8 Street_________ City/St/Zip M/ccthettoss A( 05 " City/St/Zip Identification of Source Phone#:_______ Fax#: Collection Point C 1 0 ( rl CA,CH, Bl? Check#: Amounts

BACTERIOLOGICAL ANALYSIS Lab#: Lab#:_______________________ ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Heterotrophic Plate Count __ Trihalomethanes (524) Purgeable Halocarbons (624/8260) (hemodialysis & all others) Coliform P/A (Public supplies) e Volatile Halocarbons (524) Purgeable Aromatics (624/8260) __ Coliform MPN (priv well, raw, stp) (^Volatile Aromatics (524) Acrolein & Acrylonitrile (8260) __ Fecal Coliform (all samples) __ Total Trihalomethane Potential (510) __ Organochlorine Pesticides (608/8081) Microscopic Microextractables (504) PCB’s (Arochlors) (608/8081) __ Macroscopic __ Pesticides/PCB screen (508) _ Herbicides (SM18/6630,8151) _ API __ PCB as Decachlorobiphenyl (508A) _ Other Pesticides (SM18/6630) __ Other:____________________ Herbicides (515) __ Petroleum Hydrocarbon Scan (310-13) __ Pesticides (525) __ Glycols in Water Refrigerated?yes no __ Carbamate Pesticides (531) __ Acid Extractables (625/8270) Chlorinated:?yes no __ Glyphosate (547) __ Base Neutral Extractables (625/8270) Diquat (549) GC/MS Unknown Scan Free Chlorine Res: . mg/L __ Chlorination Disinfection Byproducts (551) Phthalates (606MS) Total Chlorine Res: _ mg/L Haloacetic Acids (552) __ Other:____________________________ __ Other Pesticides (SM18/6630) pH ___________ _UCMR List 1 RADIOCHEMICAL ANALYSIS MtBE Only (524) Radon Other____________________

INORGANIC ANALYSIS REQUESTED - Lab#: __ Color __ Acidity Aluminum Potassium Turbidity __ Alkalinity _ Antimony __ Selenium _ PH __ Bromide Arsenic Silver __ Conductivity Bromate/Chlorate/Chlorite __ Barium Sodium //i Corrosivity (temp: °C) Chloride gBervilium .Thallium __ BOD (5 day) Cyanide Boron Vanadium __ Carbonaceous BOD (5 day) Fluoride __ Cadmium __ Zinc Soluble BOD (5 day) __ Hardness, Total as CaC03 Calcium, as CaCOs CLP __ Chemical Oxygen Demand __ Nitrogen, Ammonia as N __ Calcium, Ca+2 Dissolved Oxygen Metals/CN __ Nitrogen, Nitrate as N Chromium, Total __ Volatiles __ Total Organic Carbon __ Nitrogen, Nitrite as N __ Chromium, Hexavalent __ Semi-violatiles Total Organic Halides __ Nitrogen, Total Kjeldahl as N •Cobalt __ Pesticides/PCB’s __ Solids, Percent (%) __ Oil and Grease Copper __ Solids, Settleable __ Phenol ron TCLP Solids, Suspended Phosphorus Total as P __ Lead _TCLP-Metals __ Solids, Total __ Phosphorus, Ortho as P __ Magnesium TCLP-Pesticides __ Solids, Total Dissolved __ Sulfates L/Manganese TCLP-Herbicides Solids, Total Volatile Surfactants __ Mercury TCLP-Volatiles _ Other: _______ __________ UV254 g-Molvbdenum TCLP-BNA’s Nickel

NYC-WTC_000004967