DEP WTC sample records, Oct 2001

NYC 9/11 Public Portal Document - :. • i . ... .

WDa+] ester WAW#.24 pv.com )* ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH aB 2 Dana Road, Valhalla. New York 10595 -pmrs"

'Date Set: Q0 S‘~ ,205550 -.. KZ ----------------- ---- (R— era

1 Potable Type (circle one): :3. Non Potable Treated Bom . 25253/ 16l0 • 11 ___ 1 2. Non Potable 4. Other ____________ Chain of Custody? vesno V 1 Time/Date Collected: 200/ 0394 Comments: _ ' 2 Collected By: . P ) ......... . Agency Code: PWS#_ Source ID: Type Descriptor: Collected From: Gers,k . Bill to: Location’s/Individual’s Name Pi o Name/Company 0 Street_________________ 1 Street________ City/St/Zip_______ — _ i Identification of Source Phone#: — —------ -—_ / Collection Point______ ' r / : . 1 :■ Lost CA,CH,BI? _ Check#: Amounts J ____ ----- ----- — BACTERIOLOGICALAN) LYSIS ' : ORGANIC POTABLE ANALYSIS ORGA IPOTABLE/SOLID Lab#: (circle tests) I

1. Heterotrophic ■ e ts) T .6279 (hemodialysis Kalllothers) Lab#: ................ ..... ... ... .... (circle tests) 1. Trihalomethanes (524) 2 . " 1/(. 1. Pun NE 24/8260) Count ( C2..olatile Halocarbons (524) 2. Pur 2. Coliform P/A (pu mP/A.) 3. Coliform MPN . 4. Fecal Coliform ** i ones) -aw.stp) tte Volatile romatics (524) 4. Total Ti alomethane Potential (510) 5. Microex actables (504) 3. Acr 4. Phtl . , . 002 Acry (625/8270) ■ 5. Organochlorine Pesticides (608/8081) a (507) , 6. RGB's (Arochlors) (608/8081) s/PCB screen (508) 7. Methoprene (616)., _ ' * 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides 9 Herbicides (515) 9. P no 10 Pesticides (525) 10. P v w 11. Carbamate Pesticides (531) 11. G Chlorinated:? no 12. Glyphosate (547) 12. A 13. Diquat (549) 13. B xtractables' (625 Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) 14. G Se ilatile Unknown J Total Chlorine Res: mg/L 15. Haloacetic Acids (552) 15. Purgeable carbons (DEF) 16. Pesticides (SM18/6630) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other: ......... . ,....... 18. Other: ------ - ---- x------—- .. " INORGANIC ANALYSIS REQUESTED - Lab#: tie (circle tests) 1. Color 20. Acidity 39. Aluminum ; 59. Potassium; hp 40. Antimony D 2. Turbidity.. : 21. Alkalinity, as CaCO3 60. Selenium ; N 3. pH 22. Bromide 41. Arsenic 61. Silver 1///, 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium " ( 5. Corrosivity (temp:. °C) _ 24. Chloride 43. Beryllium 63. Thallium 6. BOD (5 day) 25. Cyanide 44. Boron 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOa 46. Calcium, as CaCOa CLP------------- ----- ------- 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47. Calcium, Ca+2 66. Metals/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48. Chromium, Total / A 67. Volatiles 11. Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-violatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB’s 13. Solids, Percent (%) 32. Oil an Grease 51.Copper ■ 70. Disk Deliverables 1 ids, Settleable 33. Phenol 52. Iron ids, Suspended 34. Phosphorus Total as P 53.Lead TCLP 71 .TCLP-Metals 16. ids, Total 35. Phosphorus, Ortho as P 54 Magnesium 72.TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55 Manganese 73. TCLP-Herbicides 18. Solids, Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other: _—,—: 38. UV254 57 Molybdenum 75.TCLP-BNAs 58. Nickel —------- —---- --------- ------- .................. . .... ‘ ' — * - #— **

NYC-WTC_000026112