Chain of custody record, Westchester County Lab

NYC 9/11 Public Portal Document

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IN Uestchester County WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 101 £

gie/DateSet:___________________ p - C‘ se 2i Form A-70 (rev. 1/96, Temple Type (circle one): 1. Potable D 3. Non-Potable Treated , — Bottle #’s: *c- i.7 k--), “%), 2. Non-Potable 4. Other_____________________ _ Chain of Custody? .yes no k Time/Date Collected: 117 - C-nl _ Comments:_______ I y Collected Bv: MINNAW Agency Code: _• PWS #:___________ Source ID: Type Descriptor. Collected From: Bill to: Location’s/Individual’s Name. NYu eP _ Name/Company Street I ‘ l w) : . F Lr : -1 _ _________ _ Street Citv/St/Zio 1, A t H4A t t 4 BVG( City/St/Zip_________ I Identification of Source - Phone#:.. _______ Fax #:. , .Collection Point 1 i ?* CA, CH. Bl? Check#: Amounts

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:______________________ (circle tests) 1. Heterotrophic Plate Count (hemodialysis & all others) 2. Coliform P/A’ (public supplies) Lab #: (circle tests) —7 1. Trihalomethanes (524) .2. Volatile Halocarbons (524) .3.) Volatile Aromatics (524) 1 1. Purgeable Halocarbons (624/8260) 2. Purgeable Aromatics (624/8260) 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. Microscopic 6. Pesticides (507) -6. PCB's (Arochlors) (608/8080) 6. Macroscopic 7.) Pesticides/PCB screen (508) 77 Herbicides (SM-18/6640; 8151)

07. API her:.____________ 8. PCB as Decachlorobiphenyl (508A) 9. Herbicides (515) (10/Pesticides (525) 8. Other Pesticides (SM-18/6630) . 9. Petroleum Hydrocarbon Scan (310-13) 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) Chionnated?: yes no 13. Diquat (549) (3.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-1 8/6630) 16. Pesticides (DEF) Tota: Chlorine Res: mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)

pH

INORGANIC ANALYSES REQUESTED - Lab#:. (circle tests) - S 1. Color 20. Acidity 39. Aluminum 59 Potassium 2. T urbidity 21. Alkalinity, as CaCO3 (40. Antimony 60. Selenium 3. pH 22. Bromide 41. Arsenic 61. Silver 4. C onductivity 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 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 13. Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables A Solids. Settleable 33. Phenol 52. Iron TCLP CSolids. 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 (other 38. UV254 (57 Molybdenum 75. TCLP-BNA's i 58. Nickel h Les _ilka - oskztaoi = sheate *24

NYC-WTC_000027551