DEP WTC sample records, Oct 2001

NYC 9/11 Public Portal Document

UJ, Nreeeten ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM “ Ia VCOII WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 _ (914) 593-5575 - NYS-ELAP No. 10108 Time/Date Set: Form A-70 (rev. 1/96) "================="========************ le Type (circle one): P 8. / ; - 4 — — - " 5 -4 { table 3. Non Potable Treated sofle ks: 32sa/ssa ------------------------------------- : 2. Non Potable 4. Other _ Chain of Custody? _ yes _ no 44 ( / Time/Date Collected: __________________ ___ Comments: . 563 Collected By: SAAHMAS— Agency Code: _ _ Type Descriptor::...... PWS #: _ Source ID: • *: Collected From: Bill to: ’ / Location’s/Individual’s Name AMAAAA Name/Company Street ................... Street _ — a City/St/Zip City/St/Zip Identification of Sourer" * ...................... Phonf Fax#. ----------------- ------ Collection Point _________ _______________ ___ --------------------- CA,CH, Bl? Check#: Amounts_ _______ --------------------------- ——--------------- BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#: (circle tests) Lab#: (circle tests) C- 4766I ! w 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624) Count (hemodialysis & all others) 2. Volatile Halocarbons (524) 2. Purgeable Aromatics (624/82 pm - 2. Coliform P/A (public supplies) 3. Coliform MPN (priv well, raw, stp) tP Volatile Aromatics (524) 4. Total Trihalomethane Potential (510) 3. Acrolein & Acrylonitrile (624) 4. Phthalates (625/8270) M 7 — 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) . 5. Microscopic 6. Pesticides (507) " 6. PCB’s (Arochlors) (608/8081) ■

6. Macroscopic 7.Pesticides/PCB screen (508) 7. Methoprene (616) 8. PCB as Decachlorobiphenyl (508A) 6 Refrigerated? —------- -------- yes no 9. Herbicides (515) 10.) Pesticides (525) 8. Herbicides (EPA1978/8151) 9. Pesticides (SM18/6630)' .. 10. Petroleum Hydrocarbon Scan (310-13), ■ ' 11. Carbamate Pesticides (531) 11. Glycols -. . Chlorinated:? ves—no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) 13. Base Neutral Extractables (625/8270) Free Chlorine Res:. _ mg/L 14. Chlorination Disinfection Byproducts (551) 14. GC/MS Semivolatile Unknown Scan 15. Haloacetic Acids (552) . 15. Purgeable Halocarbons (DEF) Total Chlorine Res: _mg/L 16. Purgeable Aromatics (DEF) - 16. Pesticides (SM 18/6630) pH a. 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 polaimnun po- - 59, Potassium ■■■ ■, ■

2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony _ 60. Selenium' t ■ 1 3. pH 22. Bromide 41. Arsenic ; 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium 5. Corrosivity (temp: °C) 24. Chloride 43. Beryllium 44. Boron i 63. Thallium 6. BOD (5 day) 25. Cyanide 64. Vanadium 26. Fluoride 45. Cadmium 7, Soluble BOD (5 day) 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCO3 46. Calcium, as CaCOa CLP---------- 65. Zinc

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 % TCLP Colids, Suspended 34. Phosphorus Total as P 53.Lead 71.TCLP-Metals NSolids, Total 35. Phosphorus, Ortho as P 54 Magnesium 72.TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55 Manganese 37. Surfactants 56. Mercury 73. TCLP-Herbicides 18. Solids, Total Volatile 74. TCLP-Volatiles 19. Other:_________________ 38. UV254 57 Molybdenum 75. TCLP-BNAs 58. Nickel __ NYC-WTC_000026111