Chain of custody record, Westchester County Department of Labs

NYC 9/11 Public Portal Document ' 'i; ■-. ■•

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UI ,^WWbate.^SefcL County. - ^WESfCHESTERrCOUNT^Lw ' i2jjana;R^f^lhaHa'rNewA^rkY0595 .. "^(^4)‘^9;i^5^ ^ ‘ ' : - :^YS-ELAP'No.’10108 Form A-70 (rev. 1/^B

Sample Type'(circfe one):' Potable/ '- ■ - 3./Non-PotableTre'afed' ■' Bottle 2. Non-Potable -,'' 4.’ Other _ Chain of Custody? .yes___ _no. Tirhe/Date Collected: ' '• '14, '6 / _ Comments: Collected By: ' '' ' .Agency Code: PW'S _________ Source ID:, Type Descriptor:, Collected From: : < Bill to: Lpcation's/lndividuars Name _ Narhe/Company ' Street - Street City/St/Zip vi'/ i -bA. I Ia Vj I 5’- _ Citv/SVZiD Identification of Source ~____ __ Phone#:_________ Fax#: Collection Point-'•C ■ ■ I CA.CH. Bl?,, Check#:. ' Amounts.

BACTERIOLOGICAL analyses ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES ■Lab ____________ ' (circle tests). ' (circle tests)' .:1,, Heterotrophic Plate' ■ i ; Trihalomethanes (524) , 1. Purgeable Halocarbons (624/8260) .. , Cou nt (he rrip'dialysi,s.& all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) . 2,, Coliform P/A (public.Supplies) ■ ' O? Volatile Arornatics (524) 3. Acrolein & Acrylonitrile (624) ',3. Coliform.MPN'((5riy.well, stp) 4. Total Trihalomethane Potential (510) . •4, Phthalates (606/8060) . ■■4.,Fecal C6lifoi/iTi,(ali"samples)' •5. .Microextractables (504) 5. Organochlorine Pesticides (608/8080) '5. Microscopic 6.‘ Pesticides (507) 6. PCB's (Arochlors) (608/8080) .'e^acroscopic , /. ' ' - ^■‘Pesticide^PCB screen (508) . 7. Herbicides (SM,18/6640; 8151) a PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SMt1 8/6630) ^Wther:- . ■' ' ■' ,. ;9. Herbicides (515) 9, Petroleum Hydrocarbon Scan (310-13) Pesticides (525) 10. Glycols in Water . Refrigerated? i yes' ~ no 11. Carbamate. Pesticides (531) 11.,Acid Extractables,(625/8270) ■1'2. Glyphosate (547) • • 1^,..Base Neutral Extractables (625/8270) Chlorinated?: -^/y’es no .13. picjuat (549) <1^GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) Free Chlorine Res: 15. Haloacetic Acids (552) 15. Purgeable Arornatics (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. X ) / / ^ / / INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) 1. Color 20. Acidity 39. Aluminum t59. Potassium 2. . Turbidity 21. Alkalinity, as CaCOa Antimony 60. Selenium 3. pH 22. Bromide 41. Arsenic 61. Silver 4.- Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium 5. Corrosivity (temp:°C) 24. Chloride ('^3) Beryllium ,63. Thallium 6. BOD (5 day) 25. Cyanide 44. Boron . Vanadium 7.. Soluble BOD (5 day) ................ 26. Fluoride 45. Cadmium 65. Zinc 8; Carbonaceous BOD (5 day) - . 27. Hardness, Total as CaCOa 46. Calcium, as CaCOs CLP 9.' Chemical Oxygen Demand 28. Nitrogen. Ammonia as N (47': Calcium, Ca*^ 66. Metals/CN 10. Dissolved Oxygen- 29i Nitrogen, Nitrate as N 48. Chromium, Total 67. Volatiles 11. Total Organic Carbon. , 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-volatiles 12., Total Organic Halides 31. Nitrogen, Total Kjeldahl as N ^50. Cobalt 69^ Pesticides/PCB's ^|Solids. Percent (%) 32. Oil and Grease Si. Copper ■ 70. Disk Deliverables •W^olids. Settleabie . 33. Phenol TCLP '15. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. Solids. Total ; 35. Phosphorus. Ortho as P- ‘.54. Magnesium' 72. TCLP-Pesticides 1.7;: Solids. Total.Dissolved 36.-Sulfates, • . - - ^5. Manganese, ; ,73. TCLP-Herbicides -I8i Solids.-Total Volatile 37-. Surfactants - ’ ’' • 56’. Mercury; - 74. TCLP-Volatiles T10-'Other/^A-X^/ : ;38:U')/^ Molybdenum. . '■'75.'JCLP-BNA’s 5 -.'-'rX - ■ ? '•?’^^8; Nickel - < •j .iW '.‘.-1

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