NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES : ARLE SUBMESION FOTIM
WESTONIEGTER COUNTY LAPORATDHIFS AND RF SARCI
■■MH s 1.8 A
Ulest f vpter ‘AX
-29—0302DanaRoad,Valhalla,NewYork10595--
_914) 593-5575 tYs i '
116
Ne 6
)rimeDate‘setMod PAtDE6A2AkW,E2458m ! cirri A /C 0, 1/001
1 ; ;... , " '
। bamgC IyPC *.** •> " ;■
: i' * I
2..Non-Potable— 4.Other
'I Non P >♦,'! !<’ Tih i oM4L.o
Bottle #’s: CA.FQ
I Chain of Custody? ves no
00285.
EHDOt
Time/Date Col ected: /050 /4* Comments _ ■
colCol eected By -C---
cted Fromddd
An-nv o i ■ PWS #:_
Bill to:
Source ID: — Type Descriptor:'.___
iprarionelndividuel’s Name—— U € P Name/Company...
Street. JL eST LAKe D AWE Street J.__________
Cny/SUZip City/St/Zip.
Identification of Source_____________ .._______ _ _____ -Phone r
f CA, CH, Bl?___
____ Fax#:
Col lec 11 onPoint 4_A____ Check#:_____ Amounts
Bst* mococort ANALY* S DHflANIC P 47 ? AiJAtYS! S * ■; r.MC NOPH 1; AHi i "1 A 55) ANA; YElt
Lab#:____________ ___________ Lab— /
t —s
(circle tests) (circle tests)
1. Heterotrophic Piate 1 1 rihalomethanes (524) D 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. Coliform MPN (priv well, raw, stp)
(3
4.
Volatile Aromatics (524)
Total Trihalomethane Potential (510) 4. Phthalates (606/8060) a Bonot
3. Acrolein & Acrylonitrile (624)
Pesticides/(507)
7)6,Pesticides ------
4, Feoal Coliform (all samples) 5. Microextractables (504) . 5. Organochlorine Pesticides (608/8080)
5. Microscopic PCB screen (508)
-.6.- PCB’s (Arochlors) (608/8080)
6. Macroscopic eenmg r ■ ide . (ii 18e t 3151)
Z.ARM 8. PCB as Decachlorobiphenyl (508A)
9. Herbicides (515)-=
i ■ n . Pjr he io- . IM 180 “30)
/8.Other
(10
11. Pest i c
Carbamatei d es (525)
Pestic i d-»=
es (531) “110.1. GlAciydcolExtractabl
■
s in Wateres (625/8270)
•
---V
‘ olot, n Mtyliooae Sean (010 15
Refrigerated?.yes
Chlorinated7:____ yes_____ no
no
12. Glyphosate
13. Diquat (549)(547) d n (13. GC/MS Unknown Scan A
•. ’ ■. At uel ixtra tabic (G,A/8‘/07
14, Purgeable Halocarbons (DEF)
115. Haloacetic Acids (552) 15. 16. Purgeabl
14. Chlorination Disinfection Byproducts (551)
Aromatics (DEF) "
Pesticidese (DEF) 1,
Free Chlorine Res:_____ __ __rng/L .
Total Chlorine Res: ___ rng/L
16. Other Pesticides (SM-18/6630)
17. Petroleum/Hydrocarbon Scan (310-13)
1 17. PCB’s (Arochlors) (DEF) - .
LPH__
6s"; -A0 ANA; Yhi S H< (UP SH 1 .. b* Theestiae
(circle tests) ----- MGmm
1.2.Color = 20. Acidity ===== —159. Potassium
3pH--- Turbidity -- 21. Alkalinity, as CaCOa
122. Bromi d e — "a (841.Arsenc----- 61. Silver Iy
Aluminum
Antimony 999a60.Selenium.
4..Conductivity-4) —24. Chloride (43) 23. B-omate/Chlorate/Chlorite 42 Barium
Beryllium n 62, Sodium
--- ’ ii : I halltat,
5. Corrosivity (temp:______ °C)
6.BOD5day) Cyanide some
25. Fluoride
26. _ 144. Boron A 155, Zinc Lad
45.Cadmume
/ tj ‘Vanasdimn.
7 Souble BCD (5 day)
8.
9.: Carbonaceous BOD (5 day)
Chemi c al Oxygen Demand 27,
28. Hardness,
—.29. Nitrogen. Total asa CaCOa
Ammoni as N. -46.
— 47. Calcium,
Cal c i u m, asCa”CaCO
? t CLP
n -mm
66.Metals/CN —
.10, Dissolved Oxygenan 130, Nitro
11. Total Organi Carbon.
c Halides Nitro gen, Ni t rate
triteKiaseldN.
gen. NiTotal as N_ “
149,48. Chromi u m, Total
Chromium, Hexavalent 636 Setil67, Volati les I
volot’c s
412.Total Organi c
13. Solids, Percent (%) , 133. 31. N it
—32. Phenolrogen.
011 and Grease Albs ahl as N (50Cobalti=
51. Copper .
! ‘ mo Gs/PUl‘s
o DislPole ablos
94 I ..t wte I'
115. Sol i d s. Suspended t M34. Phosphorus. Total Ma
as R, 52.Irondd
53. Lead —5 TCLPOeTe
71.TCLP-Metals-o
.16, Solid s. Total ad 0 35. Phosphorus, Ortho as P 54. Magnesium
1155. Manganese a 72.TCL
173.TCLRP-Pesticides.mld
Herbicides G
lmmu7Solids.Total Dissolved 36. Sulfatesi
4(19Oiher“A1ds38UV25402
=__ —___ .____________
NYC-WTC_000027416
De 74.TCLP Volatiles etrsey
OCR can misread numbers and units. Confirm readings against the page image before using them.