NYC 9/11 Public Portal Document
^*4^ ' . environmental SERVICES SAMPLE SUB VIS SION rO«M
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jtehestertounty
WESTCHESTER COUNTY LABORATORIES AND RESEARCH
,,(914)593-5575^* , ‘ , NYS-ELAP No. 10108•
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. Time/Date Set: "________________ _________ ;________ ' i _______ ____________ Form A-70 (rev. 1/96) ;
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^Potable - 3. Non-Potable Treafed Bottle #s:g^6fe6Q/K?1R* j
2. Non-Potable^^ ‘ 4. Other_______________ :____________Chain of Custody?______ _yes_____ no |
Tim’e/Date Coliected: 4-4 ?O Comments:___^__;_________ ' • ' -__________________
Collected Bv: Noyf <________ Agency Code:PWS #:Source ID:Type Descriptor: ;
Collected From: Bill to:
I Locatton's/lndividual's Name MyC "D€iP -. .. ' - Name/Company_^
/^ns^'<.^Mc; Dg tUC-' -- - •■ ....... ; ■ . Street : ; ; •/-.A’
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;®^ll^femPoint/^T>^*4" ->'H:''-"'/^''®'^'''- ’ '/± I^A, CH, Bl? / Check#:/ / -i • Amounts
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BACTERIOLOGICAL analyses ; ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES
l-ab#-/_2E_______
/iPisiAte^Cj;///’ Y J® 'fe/®; t/;'Y Y;./ (circle tests) '
.1; Heterotroph^Plate;- v * 1; Trihalomethanes (524) 1. Purgeable .Hal^arbons (624/8260)
- Count (hemodialysis & ail others) / Volatile Halocarbons (524)' ;/ ' 2? Purgeable Aromatics (624/8260)
2 Cohform P/A (pubfic supplies) ■ Volatile Aromatics (524); . 3. Acrolein & Acrylonitrile (624)
.■3. Coliform .MPN’fpriy well, raw, stp) ,4. total Trihalomethane Potential (510) 4? Phthalate (606/8060)
;5<,/i^^rCb|ifbrm. (all/ samples) Y ' 5. Microextractables (504) ; ;; ' ‘ 5. Orgariochlorine Pesticides (608/8080)
5. Microscopic'-’^ ■’ .6. /Pesticides (507) ; ' ; -6. PCB's(Arochlors)(608/8080) ; ■J-
6. Macroscopic -' . ' Pesticides/PCB screen (508) > ; ' t Y ; 7; Herbicides (SMJ 8/6640; 8151) / ,'
■ 8, PCB as Decachldrobiijhenyf (508A) J 8. Other Pesticides (SM-18/6630); • y
9j^ Herbicides (515) t ' / 9. Petroleum Hydrocarbon Scan (310-13) ,; <
@ Pesticides (525).;.-/ •' 10/Glycols in Wat^r^ ' < 0
'iYjts-Y-C- i'Y - <■ ’
Refrigerated? yes-no .11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) r."
- N
12. Glyphosate (547) . . 1g- Base Neutral Extraictables (625/8270)
;Chrbririated?f Y Y - yPsY-i ' ho; ; -13. Diquat (549); Unknown Scan /:/
ys'-al -.7.- ■■;■■■ ,/
;Y-vcY-Y,;-YY’vj'/;.--.,--s <-■; 14. Chlorination [^gfectibn Byproducts (551) /TS Purgeable Halocarbons (DEF)
;.-Free Chlorine Resf - YY ’ / Limq/L;: 15. Haloacetic Acids'(5'52) . 15. Purgeable Aromatics (DEF)
16. Other PesticHep (SM-18/663d)// / • ^^'1^
Totai/Chibrihe Rbs: • 'J ■ mo/L 17. Petroleum/Hydrdcarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
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INORGANie ANALYSES REQUESTED - Lab#:
(circle tests) ■ I
1./ Color .; ;/ ^^Potassi^m
20. Acidity 39. Aluminum
2. ■ Turbidity - 21. Alkalinity, as CaCOs Antimony 60. Selenium
ar Silver
3. pH ■;;;/'
,4. epnductiyity-:
5. Corrosivity (temp:
22. Bromide
23. Bromate/Chlorate/Chlorite
.°C) 24. Chloride
41. Arsenic
4^ Barium
Beryllium
fea Sodium
^Thallium
V
6.- BOD (5 day) /; . 25. Cyanide Boron ^^Vanadium
7. / Soluble BOD (5 day) 'i; ■. 26; Fluoride 45. Cadmium 65. Zinc ________
8/5 Carbortawpus BOD (5 day), 27. Hardness, Total as CaCOs, . 46/ Calcium, as CaCOs CLP
; Ch^ical f^gen^ Demand ' 28. Nitrogen, Ammonia as N. /^^Calcium, Ca*^ 66.Metals/CN
JO/Di^olved Oxygen / - 29. Nitrogen, Nitrate as N * 48. Chrorniurri, Total, 67. Volatiles ■
IT, total Organic Carbon 30. Nitrogen, Nitrite as N ■ 49. Chromium, Hexavalent 68. Semi-volatiles
,12/Total Organic Halides 31. Nitrogen, Total Kjeldahl as N . (S^Cobalt 69. Pesticides/PCB's
. 13/Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Delivefables
•'< ■"/
14; Solids, Settleable ' . 33. Phenol - TCLP
'15. Solids; Suspended 34. Phosphorus. Total as P' ^33. Lead 71.TCLP-Metals^
•16; Solids; Total , - ,: ; . 35. Phosphorus, Ortho as P ; Magnesiurn ’> 72. TCLP-Pesticides
. 1X Solids, Total Dissolved; 36. Sulfates ; ;' ; ^^^Mangahesei;; 73. TCLP-Herbicides
OSolids/T^IAZolatile-//; •- 37.-Surfactants ? < ' • ' J^.Mercury , ;74;;TCLP-Vol^iles Y
(gotheft?J^jiWY.Y / l©?<^olybdenum ../
>1
38.117254 '. ■ - 75:tCLR-BNA’s
.. 58. Nickel',
NYC-WTC_000071385
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