Chain of custody record, Westchester County Lab, Sep 2001

NYC 9/11 Public Portal Document

ill ENVIRONMENTAL SERVICES AMPLE SUBMISSION FOHM WESTCHCSTER COUNTY LABORATORIES ANO WESt ARCH 2 Dana Road, Valhalla, New York 10595 Ulestchester (ounty (914)593-5575 NYS-ELAPNo. 10108 e/Date Set:________________________ ____ Form A-70 (rev.1/96) Cple Type (circle one): (-(74, K 5 000094075 1 56>5S1 4 15/7, 4008524 655 4652 3 , P s 15 1. Potable’. 3. Non-Potable Treated Bott8 # S. 2. Non-Potable 4. Other_ __ Chain of Custody?_____ yes_____ no Time/Date Collected: > Cefomzonts Collected Rv: • . Agency Code: PWS # Source ID: Type Descriptor: Collected From: Bill to: — Location’s/ndividual’s Name N a m e/C o mp a ny Street____ __ Street_____ f ■ City/StZip___ _ 1 City/St/Zip Identification of Source Phonei_ Fax #: CA, CH. BI?....... Check#: Amounts Collection Point___ _____

N7 f. 234 : * A NALYSLS DGArl: AC: I ANAt Ys : (1s Pza< N2NPC/Aj ; 5 H 10 AHY55 Lab#:_________ ____ ___________ (carcle tests) Lab it.__ (carcle tests) 22ZL 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) / FT Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) 3/ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Conform MPN (priv well, raw. stp) '4 Total Trhalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochiorine Pesticides (608/8080) —t 5. Microscopic 6. Pesticides (507) -6. PCB s (Arochlors) (608/8080) 22

6. Macroscopic a Z.ARI 7p Pesticides/PCB screen (508) 8. PCB as-Decachlorobiphenyl (508A) 1 7. Herbicides (SM-18/6640; 8151) 8.' Other Pesticides (SM-18/6630) fn

10) Pesticides (525) 9! Petroleum Hydrocarbon Scan (310-13) . : Other:_______ '___________ _

gerated? _... ...... yes_____ no 9. Herbicides (515)

1 1. Carbamate Pesticides (531) ----- 10. Glycols in Water 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chionnated: yes. no 13. Diquat (549) 13. GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) ; Free Chlorine Res' _ mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) ’ 4 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res _mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 1 7. PCB’s (Arochlors) (DEF)

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: • •607" ANAl* . S 141 QIH STO i :l„ (circle tests)NTT . (1 ■ Color Turbidity en.. 20. Acidity 21. Alkalinity, as CaCOa 139. Aluminum 40. Antimony . 1459. Potassium 60. Selenium ; j ' CT) "S

PH 2 Conductivity 22. Bromide 23 Brom int el Chlorate /C hlorite 41. Arconie ■ 42. Barium 61 Silver : 62. Sodium 5, Corrosivity (temp: 6 BOD (5 day) °C) 24. Chloride 25. Cyanide 43 Beryllium 44. Boron 63. Thallium 64. Vanadium I /. Soluble BOD (5 day) 26. Fluoride (45) Cadmium 65. Zinc

9. 8. Carbonaceous ROD (5 day) 27. Hardness, Total as CaCOa ’36. Calcium, as CaCOa “CLPm ■ Chemical Oxygen Demand 28. Nitrogen, Ammonia as N (47. Calcium, Ca”2 a 66. Metals/CN 10. Dissolved Oxygen j 11. ‘I ota! Organic Carbon 29. Nit-ogen, Nitrate as N 30. Nitrogen, Nitrite as N 48, Chromium, Total r 49. Chromium, Hexavalent 67. Volatiles 68. Semi-volatiles | 12. Total Organic Halides 31. Nit-ogen, Total Kjeldahl as N Cobalt 69. Pesticides/PCB’s 13. Solids, Percent (%) 32. 011 and Grease Copper 70. Disk Deliverables , ′ Solids, Settleable 33.Pheno04 52 Iron a TCLP_ gSolids, Suspended 34. Phosphorus. Total as P Lead a 71.TCLP-Metals e ■ ■

35. Phosphorus, Ortho as P 54 M::.ia । 72 I: IP li i 0 17. Solids, Total Dissolved 36. Sulfates 1" .55 Manganese " IC! ileleidor 37. Surfactants _ — 38.UV254 56 . Mercury 18 Solids. Total Volatile 74. TCLP-Volatiles ' 19. Other tTmd Molybdenum 75.TCLP-BNA‘s . Nickel

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