Chain of custody record, Westchester County Lab, Oct 2001

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III lestchester(ountya WESTCHLSTER COUNTY LABSRATOHIS AND Nor ARCH 0201am/12DanaRoad,Valhalla,NewYork10595PmMT /(914 593-5575 MV L- Ai’ N . Form A-70 (rev. y Time/Date Set:__________________ Sample Type (circle one): *G ) ***37 1 08 - ■ S** A . nn 5 31.P-S66T7./eA=*-717 1. Potable)—3. Non-Potable Treated Bottle #‘s: "TArAAAmmcsooobccucosebccoALcLcsnasE 2.Non-Potable-4.Other Chain of Custody? - yes_____ no Time/Date Collected:_ //_ -2 ■ — Comments: Collected _ ________________________ Agency Code:..,,.. PWS #__________ Source ID:_______ Type Descriptor:____

Collected *GeRSGssmmFrom EEe_sAsnd Location’s/Individual’s Name__ N V C__ ___________ Bill to D Name/Company___ ______________________________ ___ . . Street i Citv/St/ZipVALHALLA At i City/St/Zip________ Identification of Source_____ "Phone# I _ Fax# ■ Collection Point (So .GH I CA,CH. BI? - _ . Check# N Amou nt $

UAc !: 504 <X Ar ANALYSTS ORGANIC 1*3 Mil / A?i r- - ct? 7.K NONPOAsit 3 50.0) ANALYSt 3 Lab # (circle tests) rdGecd LabInl | (circle tests) m 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) <2A Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) 3,4 Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) ’ . 5.6. Microscopic Macroscopic -------- -------- 6. ■ Pesticides (507) ' 7) Pesticides/PCB screen (508) 6. PCB's (Arochlors) (608/8080) ■ i. Herbicides (SM-18/6640; 8151). 7ARI- 8.Oer 8.PCB as Decachlorobiphenyl (508A) 94 Herbicides (515) 8. Other Pesticides (SM-18/6630) i '■ doumilvatsathen an (C 13) 10) Pesticides (525) 10. Glycols in Water Refricerated? yes no Hi. Carbamate Pesticides (531) 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) f ree Chlorine Hes:. mo/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: ___ mg/L -17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)

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•■ ai i an Ai. ? m St: cm sn o L. i - (o I ircle tests) . .20. Acidity I 59. Potassium i l Ul

Turbidity — 21. Alkalinity, as CaCO3 ■■ 39.. Aluminum 40. Antimony 1 60. Selenium ( / 13 IpH 22. Bromide 41. Arsenic I 61. Silver ' ■ ' 4 Conductivity 23. Bromate/Chlorate/Chiorite 42.. Barium 62. Sodium ! 5 Corrosivity (temp: _____ °C) 24. Chloride . 43. Beryllium ' 63. Thallium 6 BOD (5 day) 7 Soluble BOD (5 day) 25. Cyanide 26. Fluoride 44. Boron 45. Cadmium (64. Vanadium . 65. Zinc _ __ :___ 8 Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOa 46. Calcium, as CaCOa CLP (9 Chemical Oxygen Demand ,10. Dissolved Oxygen 28. Nitrogen; Ammonia as N 29. Nitrogen, Nitrate as N 47. Calcium, Ca*2 48. Chromium, Total 66. Metals/CN 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 (%) 14. Solids, Settleable 32. 011 and Grease 33. Phenol 51.Copper 52. Iron 70. Disk Deliverables TCLP 15. Solids, Suspended 16. Sciids, Total 34. Phosphorus. Total as P 35. Phosphorus, Ortho as P 53. Lead a 71. TCLP-Metals 54, Magnesium 72. TCLP-Pesticides 1 7. Solids, Total Dissolved ,18. Solids, Total Volatile 36. Sulfates 37.Surfactants.A 55. Manganese 73. TCLP-Herbicides

11QOhArSaer 38.UV254m 57Moly 71. "* 0 V! tes / TCI P NA‘s . •: is '■!

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