DEP WTC sample records, Oct 2001

NYC 9/11 Public Portal Document ......... ....... ,

UXL4+ ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM fee’e.ter WESTCHESTER COUNTY LABORATORIES AND RESEARCH VCOII "osP ■ 2 Dana Road, Valhalla, New York 10595 * (914)593-5575 7 p NYS-ELAP No. 10108 Time/Date Set: 6______________ ______ —7—5/8 Form A-70 (rev. 1/96) Aldi, — Sample Type (Potable (circle one): 3. Non Potable Treated Bottle s Pi* / s. 2. Non Potable 4. Other ____________ Chain of Custody? yes no '' Time/Date Collected: -/200_S Comments:.................................. ...... ............................ Collected By: NJN-NAKHLA . Agency Code: PWS #: _ Source ID: Type Desci Collected From: Bill to: Location's/Individual's Name A=as s Name/Company Street ' Street _____ City/SUZip_____________ City/StZip• v _ =— ---------------------------------------- Identification of Source Phone#: _ ---------------------------- Fax#:---------------- - ----- —-------- Collection Point 40450—: .. -. .. ... ... —.... . ....... m CA,CH, Bl? _ -_____ —9----------- ----Check#: )-5------- ________ _ Antgl, — ----- --------------------------------------------- , BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANAL) 'SIS Lab#: (circle tests) Lab#:_ ___-2/L (circle tests) 4 5 I I I i h a ' "" • -.997 001 . . . . . — : / 060 1. Heterotrophic Plate jUTrihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 2,2olatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) "3. Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) 5. Microscopic ^Pesticides (507) 6. PCB’s (Arochlors) (608/8081) 6. Macroscopic 7Pesticides/PCB screen (508) 7. Methoprene (616) Gr— A DI 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPA1978/8151) 9. Herbicides (515) 9. Pesticides (SM 18/6630) 10.) Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13). Refrigerated? yes — no 11. Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 9 13. Diquat (549) 13. Base Neutral Extractables (625/8270) U Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) 14. GC/MS Semivolatile Unknown Scan Total Chlorine Res: mg/L 15. Haloacetic Acids (552) 16. Pesticides (SM18/6630) 15. Purgeable Halocarbons (DEF) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other: 18. Other:’

INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) - • • , » 1. Color 20. Acidity 39. Aluminum 1 2. Turbidity . 21. Alkalinity, as CaCO3 40. Antimony 60. Selenium ■ d 3. pH 22. Bromide 41. Arsenic 61. Silver ’ *4 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 27. Hardness, Total as CaC03 46. Calcium, as CaCOa / 8. Carbonaceous BOD (5 day) 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 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 14. Solids, Settleable 33. Phenol 52. Iron ; (Solids, Suspended TCLP 34. Phosphorus Total as P 53.Lead 7 1 TCLP-Metals . Solids, Total 35. Phosphorus, Ortho as P : 54 Magnesium 72. TCLP-Pesticides "17. Solids, Total Dissolved 36. Sulfates 55 Manganese 18. Solids, Total Volatile 37. Surfactants 56. Mercury 73.TCLP-Herbicides 38.UV254 57 Molybdenum 74. TCLP-Volatiles 19. Other: _ 75.TCLP-BNAs 58. Nickel

.. _ , yzett NYC-WTC_000026113