Chain of custody record, Westchester County Labs, undated

NYC 9/11 Public Portal Document

■ MM ENVIRONMENTAL SERVICES SAMPLE suakasstor FORM Vol Moi mgovcom WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 — 111/11/0919—010(914)593-5575 ts : CNYS-ELAP No. 10 me/Date Set: * Form A-70 (rev. 1/96)

Sample Type (circle one) oi K22050 ’ -i {Potable — 2. Non Potable Time/Date Collected: 3. Non Potable Treated 4. Other............ ....... .... ) .. -2 S....... ... Z42/ Bottle #s:4L.. 572. : 7 Chain of Custody?___ yes _... _ no Go27ere 127 - 4 3,4 6 277 S

140./ Comments: Collected By: Le / k 4 . Agency Code: PWS ________ ... Source ID: __ Type Descriptor:. . Collected From: ( Af C D0 £ Bill to: ------- Location's/Individual's Name /: < WAK :. lA 1 Name/Company..... Street _ __ :_ s /ce Street__ . dhoo City/St/Zip _ •. s *** P 7 City/St/Zip .......... _ identification of Source___ _ Phone#: Fax#: I Collection Point Q/ 6 3 /i... - CA.CH, BI? _ Check#: _ Amount$.

f BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS f : ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#:.. Lab#:____ —0 (circle tests) 1. Heterotrophic Plate . (circle tests) 1. Trihalomethanes (524)" (U• 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) <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 (privwell, raw, sip) 4. Total Trihalomethane Potential (510) _ 4. Phthalates (625/8270) 4. Fecal Coliform (ail samples) 5. Microextractables (504). ■ 5, Organochlorine Pesticides (608/8081) 5. Microscopic 6. Pesticides (507) 6* PCB’s (Arochlors) (608/8081) Macroscopic (7. Pesticides/PCB screen (508) t. Methoprene (616) APL_ 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPA1978/8151) 8. Other: _________ __ ____ 9. Herbicides (515) 9. Pesticides (SM18/6630) (10. Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes

Chlorinated:? ____ yes____ no no 11. Carbamate Pesticides (531) 12. Glyphosate (547) 11. Glycols Mmam 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. Haloacetio Acids (552) 15. Purgeable Halocarbons (DEF) Total Chlorine Res: ... _ mg/L 16. Pesticides (SM 18/6630) 16. Purgeable Aromatics (DEF) PH .. 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other: 18. Other:

! INURANIC ANAI veis nr OUSTED - : . /^Aluminum )0E— (circle tests) 1. Color 20. Acidity / 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOa i 40. Antimony 60. Selenium -3.pH 22. Bromide f 41. Arsenic ; 42. Barium i 61. Silver : 4. Conductivity 23. Bromate/Chlorate/Chlorite . 62. (Sodium 0 ; ! 5. Corrosivity (temp:..... .....°C) 24. Chloride \43/Beryllium ) 63. Thallium 1 ( i. | 6. BOD (5 day) 25. Cyanide 44 Boron i 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium .65, Zinc 8. Carbonaceous BOD (5 day) 9. Chemical Oxygen Demand 27. Hardness. Total as CaCOa 28. Nitrogen, Ammonia as N ,46. Calcium, as CaCOa ■ 47.Calcium, Ca<? [CLP 66. Metals/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N •48. Chromium, Total 67. Volatiles 11. Total Organic Carbon 12. Total Organic Halides 31, Ni011trogen, Total Kieldahl as-51.Copp 30. Nitrogen, Nitrite as N

32, an Gre ase N / 50 Cobaletr - m 19. Chromium, Hexavalent 68. Semi-violatiles 69. Pesticides/PCB’s 13. Solids, Percent (%) ■ 4. Solids, Settleable 3. Solids, Suspended 3 , Phenol 34. Phosphorus Total as P 52, Iron | 53 [Lead - /t l) " ■ 1-.

TCLP , ! ii ;• M 0 16. Solids, Total 35. Phosphorus, Ortho as P J 54 Magnesium 36. Sulfates ' ) 55 Manganese 72. TCLP-Pesticides 17. Solids, Total Dissolved 18. Solids, Total Volatile 119. Other 37. Surfactants a—,56.Mercury- 38.UV25457Mdenum 73. TCLP-Herbicides 74. TCLP-Volatiles 58ick 75. TCLP-BNA’s

NYC-WTC_000026672