Chain of custody record, Westchester County Department of Labs

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III ulMlCnMW voufRy (^^e/Date Set^ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914)593-5575 ; .. NYS-ELAP No. 10108 f orm A-70 (rev. 1/96) iple Type (circle one): - -’•» -i dtable 3, Non-Potable Treated Bottler's: S 2^ - Y,-, ■2S*Non-Potable. 4. Other. Chain of Custody? .yes no Time/Date CoHected:, Comments: Collected By: ■ // ' ' Agency Code: PWS #:__________ Source ID;. .Type Descriptor:. Collected From: Bill to: Location's/lndividual’s Name Name/Company Street_______ . Street___________ Citv/SVZip - ■ City/St/Zip Identification of Source Phone#:^ Fax #: Colll^'tion Point ' ■ I CA^T^^? Check#; Amounts.

b/^teriological analyses ORGANIC POTABLE ANALYSES^,. ORGANIC NONPOTABLE/SOLID ANALYSES La^- - Lab-#; 7 LJ . (circletests) (circle tests) 1. Heterotrophic’Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hernodialyisis & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2, Coli'form ’R/A'(public supplies). - JJ/ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN, {priy well,.raw, stp) 4. Total Trihalomethane Potential'(510) 4. Phthalates (606/8060) 4. Fecal ColiformJail samples)’ 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) 5. Microscopic^ ' ' 6. Macroscopic, . ' ' • (' (b Pesticides (507) Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyl (508A) 6. PCB’s (Arochlors) (608/8080) 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 ■Refrioerated?' .' 'yes ■ ' no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) Base Neutral Extractables (625/8270) Chlorinated?:' • ves no Diquat (549) GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) Free Chlorine Res:. mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesficid|s (SM-18/6630) 16. Pesticides (DEF) Tota^Chlorine Res: .mg/L 17. Petroleum/Hydrocarbon Scan (^J^-13) 17. PCB’s (Arochlors) (DEF) C '•■a

pH. ■' 1 i.

INORGANIC ANALYSES REQUESTED - Lab#: — (circle tests) 1. Color 20. Acidity 39. Ajuminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOa '40. Amimony 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 -h65. Zinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOa 46. Calcium, as CaCOa 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 l^^olids. Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables tUnlids, Settleable 33. Phenol 52. Iron TCLP l^^olids. 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. I.IV254 57. Molybdenum 75. TCLP-BNA's 58. Nickell

NYC-WTC_000072175