NYC 9/11 Public Portal Document
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*.2 /Jime/Date Set:
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2 Dana RoaT1,'ValhWa> New2?6rk* 10595^^
- ‘•(911)^9^5575..
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NyS^P.No.'X01^''*;-
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A^0‘(rev;t1/96)>.h;;i.
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‘s^pjeType‘(circle'one):' • ■ . » . fdr O b < Pt01.././r.CsXcJOO'‘'.
. 3.' -Ndh-Potable .Treated . QM-jgfew; KfeoSOi;
■ 2.>Non-Potable .. 4.5Otherl_^ ______ Lr__ :^"Chain of Custd'dv/-: ' -yes. —’ ■ no"
> Vrirne/bate *Cdllected:r_<^35Sk Comments: ,4. _______ XL..'* ______ - /.
Collected By: ’SCOTT; Agency^.Code:'' ' . PWS • ■ ' -Source ID: • ' - Type Descriptor:^J: ;
Collected Frotn: ’’ ■ - 0 Bill to: ' .
•t Qcation's/lndividuars Name • NtC.* L/£ .r Name/Conipanv ■" . ’ ' ■____ '■ ‘ :'•■■■' ■ ... .-. '
Street! - - /A OATT • Street_______ _____J___________ iL____________
City/St/Z?D~ 'VAMlfil^d : Citv/SVZiD ' : ' ' ' ' > • ■ ■2,,
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Identification of Source • _______ _ _____________________ Phone#: • iFax#: ■ ‘ • ..
Collection Point C / P> .. . ■ | CA, CH. ,BI? Check#:'' Amou nt $ ’7
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ~ ' * ORGANIC NONPOTABLE/SOLiD ANALYSES
Lab/t:k„_l^__—________ ■ Lab ' ■' • -A
/(dr^lei^s) ■ ' , , , ■ C". .- (circle tests). ' \ ' r
^^Pu'rgeable Halocarbons (624/8260) ,
.1.'Heterotrophic Plate;,.. 1, Trihalomethanes (524). • ,
■ ■ .Counf'(hern6dialysis & all others) /TYyolatile Halocar'bbns (524) ' 2.- • Purgeable'A'romatics (624/8260)’ . (
,"2.’Coliform P/A (publjc supplies) ' Volatile Aromatics (524) .. ‘3. . Acrolein's Acrylonitrile (624);
■i,
53. Coliform■MPNJpriv.welL raw,' stp) ;4?;.T6t.aitrihajomet.hane,PotentialX510) • ' ■ ( 4? Phthalates (6(W/8060)_. • •; -,/•
*4^6031 Colif6rm'.(ai,l s’amples) .’f; '5; .'Micfoextractables (504) Vs.'- Or9anochlorin^F’estiadesJ6d8/8680)
5.;^icrqscopic ■ >\ 7, JS Pesticide’s (5077 ' ' 7 \6'7-PCB’'s:(A7(khlors)7^87868^^ 7‘
16i Macroscopic W .. Jg^sticfepCB wreeV(5p8) . - • \ l^bi<^^(^18^4p;..8151b .
\ T- PCB aspecach'lpiigbiphen^^^^^ •' 8\pther P^7icides;.(SM-'18/6630) . •;-7
S.t.^hef ■ - 11. A-_______ / 4-9; Herbici^^';(515), .g?' Petrqreum.yydrocarbph;Sc (310-13) T
^<>esticides’(525)" 7 - ■ - lO.'GJycolsJn Water'. r ' .'
<Refrlg^rafed?'’yesl no'- T; C?ri?a'mate:P'estidides’(5'31)\ „ 11rAcid.^7acta6les:(625/8276) -
h2:i’Giyphdsatd’(547)y ’ - " < ' 1^Ba^Il^eut^:Extractables (625/8270): ■ '
,,Chlorinated'’' _ _ ^no7- „ iTsJ Diquat; (549)^ " ’ ’’,7 j(^.GC^S;Unkri0wmScan7
•j, |i74? CfflprinatiOr^bisinf^'ipn-IByp/o^^ )) 14;. Purgea6l?'yalfearbons.(DEF),
'iPre'^;CKl6rine;Res:£ ■:~^nig/L p • i 5. HaldacetS74cIdX(552)7 " ■ 7' ISJ Rurge^le Arpniatics'(DEF)’
76.pther.'F^^idd^'(SM/i8/663b); 7 1^>^icide^',(DEFjy "
.Total, Chlorine'.Res:' <mg/L \
! »,17. PetroleurryHydrocarbon'Scari (310;13) / 17. PCBls^(Arochlors) (DEF);,
■PHU V „ ,. Vf „/)-
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INORGANIC ANALYSES REQUEltEPWab#: T? C' 9 O TX. ' •
’(circiete^s) . 1 7 ,' ' r
1.. Color-; ■ . .'gO^A^dity 7 . 39.'Aluminum'
2., Xprbidity ' ‘' /;i^;^felinity, as CaCOp . ' (g^ntimony OO.-Selenium «’r^' /' ■
■3 ’ pP ■ . '7'2^|B^mide • ’ " ' 41,-.'Arsenic. .6,1? Silver■<“ ’
.4/rCondu^ity .. ^g^' Bj-omate/Chlorat'e/Chlm^ 42. Barium' ' e^Sodiurri V . - ....
5'; ■Cdrfosiv'it'y (temp: ■ - °C1 ,24‘.'Chloride ' ’> • • . (^3^eryllium - {^i^hallium 1
ji- B®b;(5jday)) .•.'7-■ ' . ^25:',Cyanide- ' • p’ ’ ' ^^fBofon*. 64. Va^nadiuml "
7: .s8lMBi>DJ^ayj3 , 26’FJuoride .. , ' 45. Cadmium-' m eS.’Zinc
1,
■8; Carbonacedus BPb.(5,day)'.- 27.'Hardness;Total'as CaCOj CLP
'9.V Gfi'emical 6jy'gen;Demand 28. Nitrogen>Arnrn6hia.asN?' 47?.Calciu'r^,Ca:^ 166,- lOletal^CNi ‘i
'^lO.jPissoJy.edpxyg'en' ' 29; Nitrogen,^Nitrate:as^N; ■481 CKrqmium.Xotat ;^cV^atile^
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ao.:li^jtro^/Nifntg^:- ;.p#<4firo%umie!e^
1,1'..Tdtal.Orgajiic Carbon. Njt^gen ,rNitritj^asTq,
_. .>Nitrdgeii,5Tot'ai,l<jeldahl,.as'N:' (WCob”^
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170: Distc'Derwerabrest.
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'Z t<SQl3s;.;S^^le^ SSTPhTnoP CS^ron'? ■ i^CLP^ ----------------- '
UShSglidsiSig^d^' ,34)til?hMp;hor,us; T6Tat;^s,,.p; 7/irTC(;^-Met&s^
^>.gKpsDlw^it<&th.®d’SJ©* 547 ^gnesium^ }^TCgv:ftstici^
■ 36TSulfat^> ■ " ©^an^ganes^t
?7.?M^tadt5> ^Me!5!.ury^
•73>TiGCe'-Ber6ici3esy 4
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... 38/IW254) {^Molybdenurri,;
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NYC-WTC_000071062
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