Chain of custody record, Westchester County Lab, Oct 2001

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE seXhsGSAEoru WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 Uleshorter county (914) 593-5575 NYS-ELAP No. 10108 T/Date Set:_________ Form A-70 (rev. 1/96) Sample Type (circle one): 31010 24f 1622 / 7 ' • 1. Potable 3. Non-Potable Treated Bottle #*s: 1924, “9/6/.2 */ 2. Non-Potable 4. Other_______ _ ____ ________ § Chain of Custody? .yes no Time/Date Collected: O ~ §* ■ • so/0)/30 8 Comments: Collected By: V.VolSi eev Agency Code:. PWS #:__________ .Source ID:, Type Descriptor:. Collected From: Bill to: Location’s/individual’s Name. AW Name/Company Street Street___________ City/SVZip. City/St/Zip Identification of Source Phone#:. Fax#:. Collection Point. ^10^ -0334 CA, CH, Bl? Check#: Amounts. s * BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:_2_______________ _ Lab ----- iLL A. I (circle tests) | Y (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count/hemodialysis & all others) 2.) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliferm P/A (public supplies) .3. 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. Microextractabies (504) 1 5. Organochlorine Pesticides (608/8080) 5. Microscopic 6. Pesticides (507) * 6. PCB’s (Arochlors) (608/8080) 6. Macroscopic 7) Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) ‘s Herbicides (515) 9. , Petroleum Hydrocarbon Scan (310-13) 9-1 Refrigerated? #* .no (10) (Pesticides (525) 11.(Carbamate Pesticides (531) 10. Glycols in Water 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chlonnated?: .no 13. Diquat (549) (13.GC/MS Unknown Scan _yes •t 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) 16. Pesticides (DEF) Total Chlorine Res: mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF) * pH.^ SB Z. 4* INORGANIC ANALYSES REQUESTED - Lab#:. (circle tests) 1, Color 20. Acidity 39. Aluminum 59. Potassium 2. T urbidity l 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium 3. pH . ; 22. Bromide 41. Arsenic 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium 5. Corrosivity (temp: 6. BOD (5 day) °C) 24. Chloride 25. Cyanide 43. Beryllium 44. Boron 63. Thallium 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc__________ 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOs 46. Calcium, as CaCOs 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 16 70. Disk Deliverables w iolids. Percent (%) olids. Settleable 15. Solids. Suspended 32. Oil and Grease 33. Phenol 34. Phosphorus. Total as P 51. Copper 52. Iron 53. Lead TCLP 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 he bitd pobim** 4 ousmuseknoensas • NYC-WTC_000027441