Chain of custody record, Westchester County Department of Labs

NYC 9/11 Public Portal Document ■Vig. ■«! ;•"?'K. .... ■■

‘ - environmental SERVICES SAMPLE SUBMIS^

JM ^^Mchester County

Wie/Date Set: ■ ■ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road. Valhalla, New York 10595 NYS-ELAP No. 10108 Form A-70 (rev, 1/96) -Sample Type (circle one): ^Potabl^ 3. Non-Potable Treated Rottie,#-s:C CTSiqmPotable'-’ ■4. .CMherJ> . Chain of Custody? yes no Time/Date Collected: "47 Comments: A ,, ”•—7^ :

Collected Bv: . ~ • -, Agency Code: PWS #;; Source ID; Type Descriptor:. Collected From: Bill to: Location’s/lndividual's Name_^5r^^3^C__S£j!__________ Name/Company ■Street /9 t Street__________ City/SVZio Ocd hct iICi. , ^f'^f Citv/St/Zip Identification of Sdurce_____________________________ ■ Phone#; Fax #; Collection Point 4^ TO ■ I CA, CH, Bl? Check#: Amounts,

bacteriological analyses ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:' ' ’ ;'■< ■ ~ ■' ; ■ Lab t(:„ (circle tests) . (circle lesls) ? . I; Heterotrophic Plate ;,-..'■ ‘ 1? Trihalomethanes (524) 1. Purgeable. Halocarbons (624/8260) Count (he.rnpdialysis. & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (pubiic'.supplies) S.3Z Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) / ' Y 3.. Coliform .MPN (priv well, jaw, stp) 4. Total Trihalomethane Potential (510) . 4. Phthalates (606/8060) , 4i Fecal Coliforrh (all samples) '. 5. Microextractables (504) ■' 5. ■ Organochlorine’ Pesticides (608/8080) 5, Microscopic 6^ Pesticides (507) . 6. PCB’s (Arochlors) (608/8080) Macroscopic - @ Pesticides/PCB screen (508) 7. Herbicides (SM-.18/6640; 8151)' 8. PCB as Decachlorobiphenyl (508A) 8.,^Other Pesticides (SM-18/6630) 9;^^ 4erbicides'(515) 9. Petroleum Hydrocarbon Scan (310-13) y' ''” ■ Pesticides (52.5) 10. Glycols in Water .. .. Refrigerated? ■yes no 11. Carbamate Pesticides (531). 11 .'Acid Extractables (625/8270) 12. Glyphosate (547) 49 Base Neutral Extractables (625/8270) .. Chlorinated?;., ■■ yes no 13. Diquat (549) (xa?GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (5^1)I 14. Purgeable Halocarbons (DEF) Free-Chlorine'Res; mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) < Total Chlorine' Res: mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)

pH . > A .> -niiii-iu. INORGANIC ANALYSES REQUESTED - Lab#; (circle tests) (^Potassium 1. Color 20. Acidity 33. Alurriinum 2. Turbidity 21. Alkalinity, as CaCOs (^^^Antimony 60. Seleniurr i pH 22. Bromide - 41. Arsenic ,61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite • Barium Sodium j 5. Corrosivity (temp: “C) 24. Chloride I Beryllium ^3?Thalliurn 6. BOD (5 .day) : ... 25. Cyanide Boron r6^Vanadium 7. Soluble BOD (5 day) :' 26. Fluoride 45. Cadmium . . 65.'Zinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOs ^.■Calcium, as CaCOs CLP ( 9. Chemical Oxygen Demand ‘ 28. Nitrogen, Arhmonia as N Calcium, cV^ 66.Metals/CN ,10. Dissolved Oxygen 29. Nitrogen, Nitrate as N • 48.\Chrorhium, Total ' 67. Volatiles .11, Total Organic .Carbon ' 30. Nitrogen, Nitrite.as N 4g.,Chromium, Hexavalent 68' Semi-volatiles ^J2. Total Organic Halides .3t.Nitrogen,-Total Kjeldahl as N.?.? /-W Cobalt ,. .69., Pesticides/PCB’s . Solids, Percent (%), 32T,6il.and Grease . - ' 70. bisk Deliverables Solids,' Settlei^le;;'' ■ .SS^heno?,. TCLP L ■'. ( 5. Solids,' Suspended , . ' • a^^SHospRorusKTotal as P^ ; wSd yi.sTCLP-Metals^ -'I'Jl 6. .Solids^Total i_ ■ . / 35.-.f?hosph'6r'us.jO,r1ho as.P ’^Magnesium.. ■ 72.TCLP-Resticides. "17, Solids, Total Dissolved!- 36.vSulfate^. ,,^i/Mai^nese; Qa'^plP-Hetoicieiesj . jlRrSolidsT Total .Volatile' ■ 37>'Surtactants; ■ yeXMe'rcury; ' ,X' ;'74.:.TCLP,-Volatiles' 38.-'i!V254/’’ • ^MbiyB^^num./ .75>TCLP-BNA's.>

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