NYC 9/11 Public Portal Document
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■ ENWONMlNTADjERVICEt^SXMPtE.SUBM^^^
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; WESTCHESTER COUNTY DSO^TORIES AND^^RESEARCH
' ■2 Dana Road, Valhalla, New York 10595 , \\
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NYS-ELAP No.-IOIOS..
• Fornn A-70 (rev; 1/96)..
/
^mple Type (circle one): * '
^Potable/ 2 .3. ■Non^Pdtable'Treafed , Bottle
. 2,‘.-Non-PqtaWe:';' ;■ -4^-Other' ..■Chainlbf Custody?.;___ Lyes no \ |3O-
Time/Date'Gpljecte^:14722222L^ 'Comments:,
Collected By:_ . - Agency Code: ■ ■ . PWS - Source ID: TypeDescriptcirr"^
Collected From:; / Bill to:
Location’s/lndividual’s Name_ /VVC ' Name/Company
• Street____
City/SVZip >'■ ■ A//? 11 Aj Y ■ /O T"? > __________ ' City/SVZip
Identification of Sdurce ■ ■ . ■ i~:.________ Phone#: Fax#:_
Collection P6int-YA C 'rc^CH, Bl?^ Check#:, Amounts.
. BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES
" 'Lab#:___L_2___£±^2__. . ' .'Lab#:'______ 2____
.. (clrclelests)" -Jdrcl'e tests)’■ • ... .
■ 'TYHeterotrophic^PJate ■. ) ;i . Trihalomethanes (524) - 1. . Purgeable Halocarbons (624/8260).; .
' Count',(hehiodiqlysis.&all.qthers)' .Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) d
2. Coliform .P/A^(pubjic;supplie's)• Voiable Arornatics,(524), , 3. Acrolein & Acrylonitrile (624)'
' '3.‘Coiiform,MP^ (priy we'li,2raw?;gtp)Y 1 .4. 'ToraJjT^ihaJprnethajie.Pqtehtjal (510) 4. Phthalates,(6d6/8060), ' ' _
.4AFecal.CdlifQrm (^il’sann^ 5: MicToextractables (504)' 5. Orgahochlofihe Pesticides'’,(608/8080)’; '
■S.'Micrqsc'bpic?; ' •’ .' •- , ..Pesbcides{M7, , • el RCB’s (Arochlors) (6'08786'86'); '
/ • (X>^P^c(des/PCB;scn^n .(508).,. 7, He’rbicide£(SM2l87664p;;8;i51),-
' Macroscopic.^,
’ (8 f 'l?t:Bla<Decj?chlwob^^ (508A) 8 - Other, (SM;i.87663P);
/^^^h’er:; za........ , } ^H^rWcides:(515)j
5 • 92 IJetr)A&ujn3ydfi^^^^
i' )@Pesticides:(525), 10.,Glycols2in.Waterj
RefriQerated?A . . yes ho . 11 ,'(yarbarnate,'l?^ticides-,(53i); . 1 ?. Acid Extractables:(625/8270)"’
” ‘ •• ./ , '■< . 12*' Glyphosate, (547) 12.'B^e;Neutral Ejrtr^abfesyea^^^ -
! Ghiorihated?.: > • •' ves; .no; ' 13? Diquat (549)'• , ./T'^GC/MS.Unknown Scan; _
*14/Chlorination Disinfection Byproducts (551) 14 Purgeable Halocarbons ("DEOi
C;
'Free Chlorine. Res:j Irhg/L- • /1 SJ.Hafoacetic Acids (552)' ' ' 15. Purgeable .Aromatics (DEF);-. *<■
' 1 ^'ptHer^Pesticides (SM-18/6630) ' ■ 16. Pesticides (DEF) ’ ■ .. 1 .
■Total .Chlorine Res:,1£. i_ m'^L = 17. PetroleurrT/Hydrocarbon Scan (310-13); 1'7. PCB's (Arochlors) (DEF)
pH
INORGANIC ANALYSES REQUESTED -Lab#:,
(circle tests).
1". Color ' ' • • , 20; Acidify^ ■ - 3SL Aluminum Qsg^otassium
2. Turbidit’y ■ " 21 .' Alkalinity, as CaCOs ' Antimony 60^Selenium'
3.’ pH . ' 22. BromidV 41. Arsenic ' ■' ■ ^^Silver ' /-
4. Conductivity 23. Bro_mate/Chlorate/Chlpritej 4^Barium /eaSodiurn
5.‘ Corrosivity (temp: . ' • °C)'- 24. Chloride C53^eryllium V eSAThalliurfi’ ■
: 6. BOD.(5 day) ' •' ' \ 25; Cyanide , 44- Boron , '64/Vanadiurri-
; 7. Soluble, BOD'(5;day) ' i .26. Fluoride = HSiCadmium^ .65SZinc\£_
8? C^fonacequs'BpDjS day), 27?Hatdo^s, TdtaLas CaCQs! ilsiCateium. as CaCOs
'9> Chernicai Oxygenp'erhand. '28^^Nitrogen;;Ammqnia;as N,l __ Calcium, Ca'"^’ ,66AMetal^pisO
'10? Dissolved .Oxyge,n.'- - 29\Nitirogen),Nitrate(as2N.; 48.; Chromium, .tdtal'^ .67;-Voiatiles<
1 llTotaCOrganYciGarbon; >. 3b}.Nitfogeh,Nitrite;a?;l)Jj, ^^a^^hromiurri,',Hexavalent
;12. TotatOrganic^HaHd^' 31YNinbg|en^To^VK^^ahl'as.N<Qo^balV
'' "
•f SdlidsAPeio^t;(*5i)’ 2327^VahcCG'rease) ' ^^^Copp.er - JOLiP'isie Deliverables i
Solids'; SettlMblej"-*' x 3^^'feriolz. , -• Z^^lron?" ‘TCLP»'~ -
3 ^JSblids'.-.Susperided J :34i p^l^'qrq^TotSPas'.FS-l '■^llTead t ?7lT.TGL!B''-M’'etalsj ■ .< .
•WYSSiids? Total.' •35>iPlTpsp7horu?i-drtholaSjp^^ ZW\Mag'‘nesiurh' ; b2) TGi!B-:pesticid§si
•l1.7J,sWdhX^a;Dj&^1^ed} .3^ Sl&lf ates: • ’ \ Y^Mah^ariesa: ■ :73’’'TCLR2Harbicides)
37..Surfacfa.nts;.. . ' 174; TCLIR-Volatiles;.
f. :? ■ : ‘ • ^l^Molylide^^^
NYC-WTC_000072227
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