Chain of custody record, Westchester County Lab, Nov 2001

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Time/Date Set:________________________________ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 . NYS-ELAP No. 10108 Form A-70 (rev. 1/96) Sample Type (circle one): Potable 3. Non-Potable Treated Bottle 2. Non-Potable 4. Other____________ 7—7— Chain of Custody? .yes no ’*Time/Date Collected: /J./cV Id Comments: 5 Collected By: Agency Code: PWS #:_________ Source ID: Type Descriptor:. Collected From: Bill to: ^*L^ation’s/lndividuars Name_ Name/Company Street^_______ _ _____ ____________________ Street__________ City/St/Zip___________ _ __________________ City/SVZip Identification of Source A Phone#:_ Fax #:____________ Collection Point. I CA, CH, Bl?. Check#: Amounts

BACTERIOLOGICAL ^ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES . Lab#:_________ ’ Lab «:> •. J ' / (circle tests) (circle tests) -7 ' I .,1. Heterotrophic Plate iiyTrihalometh^es (524) 1. Purgeable Halocarbons (624/8260) “ ; Count (hemodialysis & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2, Coliform P/A (public supplies) A/ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw. stp) 'A Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Origan'ochlorine 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) 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) , 8.- Other: 19. Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) ? ^10. Pesticides (525) 10. Glycols in Water Refrigerated? - ■ yes.,___ L.no i11. Carbamate Pesticides (531) 11. Acid Extractables (625/8^70) •T2. Glyphosate (547) I2^ase Neutral Extractables (625/8270) Chlorinated?: yes • no 3. Diquat (549) ■ ' (^zGC/MS Unknown Scan ■ ‘ - 1. ». ,/J14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) . Free,Chlorine Res:' ■ .|il5. Haloacetic Acids (552) ’ 15. Purgeable Aromatics (DEF) J16. Other Pesticides (SM-i 8/6630) ' 16. Pesticides (DEF) Total Chlorine Res: >•17. Petroleum/Hydrocarbon Scan (310-13) 17; PCB’s (Arochlors) (DEF) f= r.. "A- pK 77^: y*

. FnORGANIC ANALYSES REQU^^D ^'ab#: tests) ./ ; f;' .1.’‘.Color .2. Turbidity ■ ■ M linity, as CaCOa*' 777 ' f39.lAluminum 40.Untimony VV f P/ / I 5a Potassium VV' --ygoVelenium 3- pH 41.krsenic K^fij/Silver 4. Conductivity ’ -i^^.Brfiimate/Chlorate/Chlorite 42.fearium 62. Sodium is.. Corrosivity (terrip:__ <43^eryllium (^Thallium X.-IPD (5 day) 44. Boron 6<L Vanadium 7; $oiuble BOD (5 day) 45. Cadmium 'eSrZinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOa 46. Calcium, as CaCOa ' CLP ^9. Cliemical Oxygen Demand 28. Nitrogen, Ammonia as N 47. Calcium; Ca"^ 66. Metals/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48JChromium, Total 67. Volatiles 11 . Total Organic Carbon 30. Niti|>gen, Nitrite as N ^^Chromium, Hexavalent 68. Semi-volatiles i2.;total Organic Halides 31. Nitrogen, Total Kjeldahl as N /5u\Cobalt 69. Pesticides/PCB’s 13. Solids, Percent (%) 32. Oil and Grease ' 51. Copper 70. Disk Deliverables 14. Solids. Settleable 33. Phenol 52. Iron ISLE .15. Solids, Suspended 34. Phosphorus. Total as P vSS/Lead 71.TCLP-Metals ,16. Solids, Total y 35. Phosphorus, Ortho as P SjkMagnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates /55.^anganese 73. TCLP-Herbicides blids. Tot^Volatile 37. Surfactants f 56. Mercury 74. TCLP-Volatiles >ther: ‘ 38. IIV254 1 57. Molybdenum 75. TCLP-BNA’s V 58.>Nickel

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