Chain of custody record, Westchester County Department of Labs

NYC 9/11 Public Portal Document

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JU Time/Date Set • :■______ ________________ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road. Valhalla, New York 10595 (914) 593-5575 / Y NYS-ELAP No. 10108

Sample Type (circle one): 1. Potable 3. Non-Potable Treated Bottlers: 2. Non-Potable 4. Other__ Chain of Custody? .yes no Time/Date CoByried: / ' ,A.Comment8:__ Collecfed By: / -? A 3 _Agency6)d®: . PWS #:_____ .Source ID:. .Type Descriptor:. Collected Front . ■...

Location’a/individuars Name Name/Company Street V ^reet City/St/Zip__ _ City/St/2ip___ Identification of Source___ Phone#: ' _Fax#: CollectionPpinL; ' » I' CA. CH, Bl?, Check#: , Amounts,

BACTERIOLOGICAL ANALYSES

(drele tests) ; l.Heterotrophic.P|«e„:s;‘^:r- . -. as >24) ^W*ALYSES : ORGANIC NONPOTABLE/SOUD ANALYSES

.1. Puraeable Halocarbons (624/8280) Count (herTKxfialysM'S'aTot’hers); ns (524). 2. Pu1>able Aromatics (624/8260) - 2. Conform P/A (publiciuppftes) --------- .. (524) Acrolein & Acrylonitrile (624) ** 3. Coliform MPN (0.rlv wettrW, stp) W TotatTrihaIc«n«h’ane Potential (510) .cW? 4. Phthalates (606/8060) 4. Fecal Coliform (alliances) ■■■ '5.• Miro^MSbles(504) 5. Organochlorine “ ............(608/8080) Pesticides ... JL P^feJ^s(507) 5. Microscopic ’ 6. PCB’s (Arochlors) (608/8080) 6. Macroscopic - 7. Herbicides (SM-18/6640; 8151) 7. API • . r ' • PCB ap Dec^hlorobiphenyl (508A) 8. Other Pesticides (SM-18/6^) 8. Other:L.L Herbicides(515) 9. Petroleum Hydrocarbon Scan (310-13) 0Pe&td^^ - lO.^Glycols in Water Refrigerated? Ves “ nd ll.CaiS^t^esticides (531) 11.»AcidExlractable8(625«270) uY? 12. Gtyphosate.{547) 12. Base Neutral Extractables (625/8270) -- Chlonnated?: - ves no 13.biquat'/54m ®GC/MS Unknown Scan ' 14. Chlorinalion Disinfection Byproducts (551) 14. Purg^able Halocarbons {DEF>_ .^ • Free Chlonne Res:. .mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total ChiorineRes: .>T>g/L 17. Petroleum/Hydrocarbon Scan (310-13) - 17. PCB's (Arochlors) (DEF) * ■i-

INORGANIC ANALYSES REQUESTED - Lab#:. < f. (circle tests) 1. Color 20. /Xcidity 39. Aluminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony 60. Selenium ..J . 3. pH 22. Bromide 41. Arsenic 61. Silver’ "’1 \ A .n--' 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium i y. 5. Corrosivity (temp: .’C) 24. Chloride 43. Beryllium 63. Thallium i . 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 CaCOa 46. Calciurn, as CaCOa £t£ 9. Chemical Oxygon Demand 28. Nitrogen, Ammonia as N 47. Calcium, Ca*’ 66. Metals/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N . 48. Chromium, Total 67.Volatiles . Y. ' 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' 14. Solids. Settleable 33. P^noi 52. Iron ISLE 15. Solids. 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 19. Other:_________________ 38. IIV254 57. Molybdenum 75. TCLP-BNA’s ‘i .V 58. NIekei 'A'

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