Chain of custody record, Westchester County Labs, Sep 2001

NYC 9/11 Public Portal Document rp Y*7 PWWWPWWPWWPPY KWnw

JU ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 /Date Set:________ Form A-70 (rev. 1/96) ple Type (circle one): 2033, f 60 2522593,2 ‘ 3 (1. Potable 3. Non-Potable Treated Bottle ws:19r 300, c84 S 3 80 30 2. Non-Potable 4. Other_____ _______ _ _____ Chain of Custody?____ yes .no Time/Date Collected: 24/200/______ 1/3 Comments:____________ Collected By: LAO_____ Agency Code:___ PWS#:______ .Source ID:. Type Descriptor:. Collected From: Bill to: Location’s/Individual’s Name. AuOview) Name/Company. Street________________ Street_______ _ City/St/Zip Identification of Source ______ Phone#:, Fax #:, Collection Point, 15% CA, CH, Bl?, Check#: Amounts.

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:. . (circle tests) Lab *----- 224 Q (circle tests) C. -* 1. Heterotrophic Plate ’ 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260)* Count (hemodialysis & all others) V .2. Volatile 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,Yaw, stp) ' 14. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 3 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) 5. Microscopic; 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8080) i 6. Macroscopic 7.) Pesticides/PCB screen (508) 7; Herbicides (SM-18/6640; 8151) 7. API / — "8. , PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) @ther ■ :9.Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) { J 10, Pesticides (525) 10. Glycols in Water Refrigerated? * yes no " -11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12.Glyphosate (547) 12. Base Neutral Extractables (625/8270) J Chionnated?: ves 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) 16. Other Pesticides (SM-18/6630) . 18. Pesticides (DEF) Total Chlorine Res: -mg/L 17-Petroleun/Hydrocarbon Scan (310-13) - 17. PCB’s (Arochlors) (DEF) pH ‘6 t ... * !6 , '' R-or INORGANIC ANALYSES REQUESTED - Lab#: 6 • - crpm (circle tests) ro 1. Color .20. Acidity 39. Aluminum 59. Potassium 2. Turbidity 21: Alkalinity, as CaCO3 40. Antimony 60. Selenium , 1 3. pH . 22.Bromide 41. Arsenic 61. Silver /(l 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 CaCO3 46: Calcium, as CaCO, 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-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB's 13. Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables • Solids, Settleable 33. Phenol 52. Iron TCLP B. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. Solids, 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-BNA’s 58. Nickel ..R* • 14 * NYC-WTC_000026568