Chain of custody record, Westchester County Department of Labs

NYC 9/11 Public Portal Document

M

lU ISTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla. New York 10595 (914)593-5575 / 7 NYS-ELAP No. 10108 A-704rey;V^1 B® ’

. Time/Date Set: .......... Sample Type (circle one): />/O <7'U ^7?. BS V

a <>otable TNon-Potable 3 Non-Potabie Treated 4. Other_________________ ______________ _ Bottle #’s:C Chain of Custody^ ..„.yes L...no / / '

■ Time/Date Collected' h

Collected By:x^‘ - 1

'"----- _________ Agency Code: ' H/ • O / - Comments' ■ ■

PWS #:Source ID:Type Descriptor; .................................... -- - - - - - — - ■■ ■ -

Location’s/individual’s Name /Y P . piarne'Companv '

Street..._,£j....Jcl.?Sj..AH£C„- .. ________ Street City/St/Zio P'h -fr. _____ _ LL L City/SVZip '-<--h‘i'."tP:n -f Source Ph-n.J' Fax #i ____ Collection Point_<Lbl.'jL-£..£f.Jfc' _____ -. .X____________ CH, BP_ Check#: Amounts.: * ........... ........ .. ................................................... B AC IERIOLOGICAL ANALYSES OR(;ANIC POiAHli ANALYSf.S ORGANIC NONPOTABLL7SOLID ANALYSES

Lab#;__ ______________________ Lab#:: (eircle tests) I fcucle Sests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & ail others ,<5. \ Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coiitorm P/A (public supplies) b. / Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) V''Total Trihalomethane Potential (510) 4. Phthalates (606/8060) M lllli 4. Fecal Coliform (all samples) r 5. Microextractables (504) .5. Organochlonne Pesticides (608/8080) 5. Microscopic 6^ Pesticides (507) 6. PCB’s (Arochlors) (608/8080) Ml 6M.c;.o&eop,c r? PestWdcs-cp (S-) 7. Herbicides (SM 18'6.40; 8151) ■ 8. Other; ZAP, PCB as Decachlorobiphenyl (508A) :r--; 8. Other Pesticides SM-18/6630 9. Petmteum Hydrocarbon Scan ptO-13) O p..h-r,>mm Hydrocarbon Scar ■ Ssticides (531) 10. Ex in Water Glycols !?: 2^ Refrioeratedi' yss no iS

Chlorinated"; yes. ------------------------------- --- --------------------------------------------------------------------------' ■ ..no ■-------------------------------------- ■ '■ ■

'Pl ducts (5: ee Chlorine Res:_________ mg/L lb, naioace ic Acids (552) ............ .... ......................... - , ■ 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Tola' Chlorine Res:rng/L 17. Petroleum'Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF) * 4.. ------------------------------------------------------------------------------------------ - . T'y . : t ■ ■...... ■■■ , ~ " 12__ INORGANIC ANALYSES REQUESTED - Lab#:_____z!.,L.B..7XZZl____ _ ’

1. Color 20. Acidity 39. Aluminum ?59 iPotassiurn 2. 3 Tnrbid.1v pH ,.H Conductivity ■ .’■ AT. ' ■ •■,.;:■ CiCr*. 22. Bromide

23. Bromate/Chlorate/Chlorite OA-f ynv M^Arsenic

^.Barium F"' Sfl.mkif 61. Silver

Sodium 5 Corrosivity (temp:----------- ’C) 24. Chloride 0^ Beryllium

g£i£ IliXiS IST_____ ■ 1 £:»,oS“AX“,a:“’ ^SISSSS*”* CLP Cfi. N .. 10. Dissolved Oxygen 29. Nitrogen. Nitrate as N 48. Chromium, Total !es: ■ imb. n ;Y'. N^t- g.-: N-:!..N 49 Chi-n^iu-.

0. Dis! ie!

NYC-WTC_000070333