Chain of custody record, Westchester County Lab, Nov 2001

NYC 9/11 Public Portal Document

'.V '•4 ’-TO'-.;- 2'Dana'Road.’’Valhalla. r^ew/6fk.1^^^^ '4 UJBsfchesterCax4). <• , , . ' ^(91 ^3-557^ • ■"■S ' v ’ NYS-ELAP’N5sl0Yd8». Time/Date Setf^_______ >________ t ■- v •< > - Fdrprt A-70 (ta5rM/96)^ ’■:V Sample Type (circle one): i"' ^Potable' Y 3. .Non-Potable'Tz-eafed' ' . Bottle #’s: W (Of ■ ZS T'Non-Potable .4.-.Othef , Cham of Custody? = .. - yeif' 4' Time/Date Collected: / _______ r f • Commentis:_________ , > Collected Bv: ■') S ■" - Agency Code: ■ ■ PWS'#;/__4-^______ Source ID: ' ’yTvoe Descriptor: . Bill to: . '' ’ ■/f ' Collected From: Location’s/lndividual’s Name / /X: / Name/Company_______ ;_______ Street i / Street______ \?>x City/SVZip. City/St/Zip_ identification of Source. Phone#: Fax #: - Collection Point. )"-4 4 K . [ CA, CH,. Bl?. Check#: - Amounts

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES V 'Lab#: ' ■ ' Lab #;4_____________ __ i_ (a'r’cle lesls) (circle lesls) ' 4. Heterotrophic Plate 1. Trihaldijiethahes (524) 1. Purgeable Halocarbons (624/8260). Count (hemodialysis & all others) t'^:4Vplatile‘Har6carbons (524) 2. Purgeable'Aromafibs (624/8260) ^2.'Cdliform P/A (public supplies) 3.-Coliform MPN (priy well,‘raw, stp) ‘4V^i:Cc'olifofm (allVamfiles) <3/-Volatile Aromatics (524) • 4. TotaLTrihalometHarie Poten_tiar(510),' 5. 'Micr'o’exf.ra'ctabl.es'(564)'l . ■ 3. 4. Acrolein & Acrylonitrile (624) ■ RhthalatesJ6p6/8060); ■ 5.< Orgah"ochl6nne;R&tiades;(608Z8_080)’ u ■'5.' Microscopic Pesticides (507), 6. PCB’s''(Arochlors) (608/8080^ 01 6.’'Macroscopic Pestjcides/pCB.screeri,(508),._ 7. -.Herbicides, (SM;18/6640; 8151)) 8.F^CB as Decachlor_obiphenyr(508_^)’ '. 8' ^-'er;Peslicides.(S^-:i 8/6630^ ' • ;'^^Herbicides'(515j- " ' Petroleum Hydr6c^rbori’Scan',.(31.0;13)} ft.Olhdr;’___ '^^esticides (525)-' ; - lOYClycols in Water” 'TTCarbamate Pesticide<(531)' l'lTAcid'Extracfables'(625/8276)’'- fk*. /■ Refrigerated? J____ yesl no ’ ' ‘ . -r 12, Glyphosate (547);- 12? Base'Neutral Extractab'les (625/8270) f W 13.'Diquat (549) . . _ -{J^GC/MS Unknown Sc^ X;V Chjdnnated?: - -ves" . no? 14. .Chlorination Disinfection Bypr'oducts,(5.5l) , 1.4..^rgea_ble HaFocajb’ons^DEF), . 15. Haloacetic Acids (552)' ' '' 15?^rg-e^leAfomatics’(PEF); ;Free.Chlorihe Res: ■ - mo/L 16. Other Pesticides (SM-1.8/6630) 16? pesticides (DEO* ; ‘Total Chlorine Res:mg/L 17. Petroleum/Hydrdcarbon Scan (310-.13).- 17.'P.CB’s (Arochlors) (DEF)'

, ,A 4 , . r<5 INORGANIC ANALYSES REQUESTED - Lab#;. ■(circle tests)', 4.0 •/ . - *<■ ISO 39i.,Aluminu'm .59. Potassium •« MJ '1. Color , , ‘ 20. Acidity 2. Turbidity, - 21. Alkalinity, as CaCOa wO./Antimony 60. Selenium’, 22.’ Brorhide ■, • 417 Arsenic 6r'Silver' CW 3.'- pH •4.. Conductivity 23. Bromate/Chlorate/Chlorite, 42. Barium 62;.Sodium. ' ’ 5.' Corrosivity (temp:l.°C) 24. Chloride ;'4^Beryllium /g^Thallium 6.;, BOD.(5 day) ’ 25. Cyanide 44. Boron ^4. Vanadium 7? ; Soluble. BOD (Sday)’. 26. Fluoride u ' . ’ ‘ .45^Cadmium, ., 65. Zinc ., . ■_______ ,8. iCarbpnaceous BOD (5.day) 27. Hardness. Total.as,CaCOa 46.'Calcium, as.'CaCda, ,•9.^ Chemical O>0/gen.Demand >► 28’.' Nitrpgen, Amrnonia,as^N. - > 47’Calcium, 10/Dissblyed’,O)<y'genj 29. Nitrogen;^Nitfate.a?^ 48?.Ch.rornium;4otai- ifli Total'O'rg'ariicjCarbpn; 30. Nitrbgen,*Nitnte,as.N f . 49^ Chr''^ium..Hexayalent' i68.;Sembvolatiles; ja^^XotafC^abicxy'aSSes;,. ' ,. 31\Nitr6gen,aotXLKieldahl a^^ N (SOJC^^"' " , ,^^;Resticides./FCB;s d3.\sbirds;.p^^5t'(%)\ 32^dil'^ndGreaseY .r ...... ____ __ sCCopper L70.\Disk Deliverables , (■iVj-SolTds; Settleablej ' ’ SS^Rhenol'j TCLP; - . 151, Suspended) - 34?>gh>'Rkq.rus?;T,otaKas?R> ^^L^a’d);, 71) TCL^-Metals; ;T6f,Sb1ids.T6talL - ■35?£hosphorus.-,Orfh^TPJ rllU^P.esiurt)3 .^^-tCLg-'Resticides ,17^SblidssTot^;D1ssp!y.ejd} . 36: Sulf ate^ (@<ang-ane^) ,734CLS^^Herbiclde.s, r'185§dlidsl,Xdta1i^olatile3 " 37/'Surfactan?^ ^jMe^uryr' k4in:GL^Xp,latil^.. n^tHer:' ' /f^^M^bdenuip) |7,5:;T.Glie-BNA>x

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