Chain of custody record, Westchester County Lab, Nov 2001

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III , •. ENVJRONriEjffA.L SER.VIC.ESiS^PLE^ S » * WESXCHESTER^CpUNTY jifABpR ATORIESlAND^RES^ , I r2 Dana Road,Majhalla,'New York 10595 ■ .<1 UtestehostefCoorty, .. “ ' ■■■'‘'(9t4)593;5575'^ ’ ■.NYS-ElZAI^Nd.M.OIOS,,,’ .Time/Date Set?. ,.. '■ • )’L2\.^?<‘Form A-7d.(rev.«)1/96)i Sample Type (circle one): ■ • ' ' 1 ’ •TTqtable' "^ ‘3’. Non-Potable Treafed ■ Bottle #’s:. •b ''SyNSng^bl^ 4? Other , . Chain of^Custody? ^yes n^K)<^Q(O|yOC*”^fe.l ■Time/Date'Collected:- H*t^**^^______ _ Commehts:^!^-‘ Collected By: D. S jf/jTrT' \ Aqehcv Code: J •> ■

_ PWS #: Source ID: ■ ‘ -' Tvoe Descriptor:./, Collected From: '- . Bill to: i ■ ■■ ■ Location’s/lndiyidual’s Name _ Name/Company, Rtreet _ Street___ _ ■city/svzipjJZSSfiMZ^i5E3c^5ii_ City/St/Zip Identification of Source, - Phone#: Fax #: F___________ Collection Point cat* I CA, CH, Bl?. Check#: ’ Amounts?- x- BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES c is- lab#:____________ - Lab ____________________ (circle tests) .■ . (circle tests) ' 1 ./Heterotrophic Plate ., ' . .1' Trihalomethahes (524), j .1. p.urgeable Halocarbons (624/8260), , ■. Courit (hemo’dialysis & all^others). ■ ' Volatile Halocarbons (524)\ ' '. 2.' * Purgeable Aromatics" (624/8260)' 2. Coliform P/A (public supplies) f \3z?Volatiie.Arpmatics (524), ' ' 3. Acrolein & Acrylonitrile (624) 3? C^iform/M PNJpriv welI ■4; ’•Tdtai/TrjhalometHan'e/PotentiallglO)'' '4.. Phthdiates (606/8060)^ ’. 4.; Febarcpliform'.(airWmpies)''' <" 1 J;5X 'Micfoejrtradt^lesKSM)' 5?-- 6rganoch'lorine'Testicides'(608/8080)'' t i’ ) ■■'I j5. Microscopic N 6> Pesticides.(507), , - , - 6. P'CB's.(Arochlors)f(608/80'86)' 6.‘ Macroscopic^ -- I /)®Lf^sticWes/BCB screeh(50^ . ■ 7-. Herb^des.(SM^18^i;8151)1 'ZAPI. W PCB as Decachloro^iphenyl (5d8A) - ■' 8.' Other Resticide?(SM<I8/66_3O)' ** g; Other: ? .; _ ■ ■ ■ C.^/bAr6ic5des'(515)f ' , Sj P^glepm:ilyaroc£r6ojv^n/3^ I J ®i’|si>^^1525)‘ . . 1^^vGjyc^^^a1'er> ______ , • ‘ ’■Refngerafed???yesL .jbT f 'TiLCarbamate Pesticides (531) 11; Acid Ext^tables’(625/8270)' J lr^>.GIyph'osat'e.(547); , ' l^^ase^bJeutraCExtraSaSle^^^^^ i ’^.Diquat (549)i _ " - L" <lp^C/M^UnknoWh:^cap'i _ \ ^Ghigrin'ate'd?!- .yes? _hpT, ’lX;;Chlor'inaTion;Disinfection Byproducts (551)' 14.'gurgeable.l-i^^b;^s/^(DEf;j) ' Fme.Ch‘ld'rine;Res: • — ■ - -mc^L’ f (15; Haloace‘ticlAcids’'(552). " * . 15.,Rurgeable'Aromatics (DEF); i I'^rOthel’Pestici^ ' . 16?Pesticiaes (DEF)) ■ Total Chlorine' Res': mq/L- ./l 7’;Pefrofeum/Hydrpca'rbon Scan (310-13) 17.*PCB's'(Arochiors) (DEF) t

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INORGANIC ANALYSES REQUESTED - Lab#': 1? ■ O <' (circle tests) , . , ' ' ' 21' O

I^i, Color * ' go." Acidity^ 39?Alu'mihum ■Aa 5^9. Potassium -tS 1^' ^^^Antimony A 1 Turbidity ' 21.'yAlk'alinity;as CaCOy/ 6*0. Selenium ■ 3.- pH , ,, 22.'Bromide’J. 41; Arsenic. 61.•'Silver- A.'-.-Conductivitya - , 23.\Brornate/Chiorate/Chlorire,^ ■ 4^Barium > 5. 62'.‘So-diurT,, 5. ■ Corrosivity(temp:_^____ °cj.. 2'4.-Chloride, ' ■- O^B^ryllium. “’"thallium' I 6;<BO[^(51ay)- , ' ' 25i CyaHPe' . 44.-Bl'rp’nj 6,4tVanadiurn, J ,7/ Sglubl^.BOD^(5/day)'j 261^Fluoride^ >•. •45/C.adrriium') <65.\^ng?lIk I. .8.- Carblna^^pus.'BODjs^day)) 27^ga^dn^ss jTqtaLas CaCOl 41Calcium,-a's,,CaCpk fCLPf ■’ ■ rgy 'Cfiemical^xygen^De^ 2BNi^g^;j^'mqhia.a^NT' 47/ Calcium,-jCg^ le^Mefai^cKi; 4^-Sh*romiur^-^otal> i 14) Tptal Q'rga'niYCarb'pn' 30,Nitro^fro^tt^^as-.N.: ' jIEj.iCh'romiurn) Hexavalent? ^'^mi-ydlatiies; i ?• ■ (12>Total .6jganic':Haiid^> - 31> Nitc^nxXqtaGKjeldatel^^^ 13? Solid?; ,R^rc'e'nV(%)) 32.;Oil,and,Gm'ase> , 7»^C?Rg.er’ i 7O\Disl<^i^ablfe5 (4^y^li^;>^ttie^lpy sSy^heHbl) ^^/irori} ^TCLP; ------- 115:' Solids;,Suspende'd; .34?.BK^BgprustT;Q<^67 < ) re.'Solid?! jSaj)^ ' .35,<gh’dsp'h'oxQs! OftlwIas.R? l^Magnesium; ^tS^cBe^icid^ 11.7?'SblSs/'total'Dissplyed) SjBZSulfatey ^^iMahqanese/i i^vTeL^-HerbicWj^^^ i^^^plidsjftotaljVpIatile.) 37k^rj.acfants') -- 74'TCL^-\^at,les. 38>L!)^25Xi' . (57>Molyb.^enu'mD ..I . . .«4 t «>«*. J •

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NYC-WTC_000071061