Chain of custody record, Westchester County Department of Labs

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IL W6/Date Set: WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575

L. NYS-ELAP No. 10108 Form A-70 (rev. 1/96) 6 'pe (circle one): Pl 3. Non-Potable Treated Bottle #’s: , 3^1 ’, - 2. Non-Potable 4. Other Chain of Custody? .yes no Time/Date CollectecfaLl 1 013 O) 0 Comments: Collected By: ■ t l^'^oUTS-Xqencv Code: Type Descriptor; PWS #:_________ Source ID:, Collected From: ' , Bill to: . c,5. .'In Location's/lndividual’s Name Name/Company Street ' ' Street Citv/St/Zip • City/St/Zip Identification of Source Phone#: _Fax #:_. Collection Point," ’ I CA. CH. Bl? Check#:____ 2 Amounts^

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABL^OLID ANALYSES Lab IA ' 7 . . ’-J

Lab#: Z' (circle tests) Z (circletests) , - i.: '. - ' ’ 1. Heterotrophjc .Plate ; ' • 1. Trihalometha'nes (524) 1. Purgeable Halocarbons (62^.8260) ' Count (hemodialysis & all others) /^ Volatile Halocarbons (524) 2. Purgeable Arorhatics (624/8260) - ' 2. Coliform P/A (public supplies) \3/ Volatile Aromatics (524) 3. Acrolein & Acrylonitriie'(624) ' ; ■ • 3. Coliform' MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) ' 4. Fecal Coliform (all sarhples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) Pesticides (507) 6. PCB’s (Arochlors) (608/8080) ’ . 5. Microscopic. 6. Macroscopic’ . , 6 Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyl (508A) 7. Herbicides (SM-18/6640: 8151). 8. Other Pesticides (SM-18/6630) Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) Pesticides (525) 10. Glycols in Water Refrigerated? - ves no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) , > 12. Glyphosate (547) 12!>jBase Neutral Extractables (625/8270) Chlorinated?:lyes. no 13. Diquat (549) ^^GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) Free Chlorine Res;. .mg/L 15. Haloacettc Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: mg/L 17. Petroieum/Hydrocarbon Scan (310-13) 17. PCB's (Arochlors) (DEF)

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INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) 1. Color 20. Acidity 39. Aluminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOa 40. 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 43. Beryllium 63. Thallium 6. BOD (5 day) 25. Cyanide 44. Boron 64. 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 29. 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 ^^olids. Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables ^■olids. Settleable 33. Phenol 52. Iron TCLP l^bolids. Suspended 34. Phosphorus, Total as P 53. Lead , 71. TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 54. Magnesium / 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55. Manganese 73. TCLP-Herbicides 18. Solids. Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other: 38. '.IV254 57. Molybdenum 75. TCLP-BNA’S ’ r 58. Nickel

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