Chain of custody record, Westchester County Department of Labs

NYC 9/11 Public Portal Document

hpcfpr ENVIRONMENTAL/SERVICESSAMeLEtSUBMISSIONfOIJM'^f ,r , 1 WESTCHESTER CbUNTY;LABORATdRIES;AND research * 'J — ’■ ■■ ' 2}Da"na R'oad,ValK'Sa:'New,Yo^^^ “ . . ..-., ’'•7 '(914) 593-5575; -r ^^■-’NYS-ELAP No. 10108 I- - i/Date Set: Form A-70 (rev. 1/96)

Sami pe (circle one): 1. Potable 3. Non Potable Treated Bottle #’s: - 3^ 2. Non Potable ' . 4. Other____________ Chain of Custody? yes no , J ;^Time/Date Collected: Comments: J

;x(Collected By: VMo Agency Code: PWS #:________ Source ID: Type Descriptor: Collected From: Bill to: ' Location's/lndividual’s Name i ' ■■ Name/Company Street <-/' Street_________ city/st/zip City/St/Zip Identification of Source Phone#: Fax#: Collection Point C. ~A~ I CA.CH. Bl? Check#: Amounts

BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#:_____________ __________ Lab#:________________________ (circle tests) ■(circle tests) 1. Heterotrophic Plate 1; Trihalomethanes (524) 1 .■ Purgeable Halocarbons.. (624/8260) Count (hemodialysis & all others) /^'Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) y^.Volatile Aromatics (524) 3. Acrolein & Acrylonitrile ^(624) 3. Coliform MPN (priv well, raw, stp) ‘■4>.>Total Trihalomethane Potential (510) 4. Phthalates'(625/8270),f? ? 4? Fecal Coliform (all samples) 1 5..< Microextractables (504) 5. Organochlorine Pesticides-'(60i5/8081) S.^Microscopic ; 6^ Pesticides (507) ; 6. PCB’s'(Arochlors) ’ (608^081). r^||croscopic (7^ Pesticides/PCB screen (508) 7. Methbprene (616)} , f S^L^er:■■ ’;8.,, PCB as Decachlorobiphenyl (508A) •• 8.,Herbicideb(EPA1978/8r51) ^ 9i’Herbicides (515) 9.'Pesticidei; (SMI 8/6630) ' / ^Pesticides ’ (525) 10. Petroleum Hydrocarbon Scan (310-13)’ Refrigerated? yes no tT Carbamate Pesticides (531) ■’ '11. Glycols" ■ . , Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables,(625/8270) ' 13.‘Diquat (549) n. Base Neutral .Extractables (625/8270) Free Chlorine Res:. _______ mg/L ' 14. Chlorination Disinfection Byproducts (551) ^J)gC/MS Semivolatile Unknown Scan Total Chlorine Res: _______ mg/L . 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) 16. Pesticides (SMI8/6630) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other:__^____2_X___Z__ 18. Other:_______ _________

INORGANIC ANALYSIS REQUESTED - Lab#: yc/7 O - (circle tests) 1. Color 20. Acidity 39. Aluminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOs ^^Antimony 60. Selenium . 3. pH 22. Bromide 41. Arsenic 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium 5. Corrosivity ftemp: . °C) 24. Chloride -< (^^erylliurn fhallium 6. BOD (5 day) 25. Cyanide 44. Boron 5^ Vanadium 7. Soluble bod'(5 day) 26. Fluoride 45. Cadmium 65. Zinc 8. Carbonaceous BOD (5 day) 27. Hardness. Total as CaCOs 46. Calcium, as CaCOa CLP, 9. Chemical Oxygen Demand 28. Nitrogen. Ammonia as N 47. Calcium. Ca*^ 66. Metels/CN, 10. Dissolved Oxygen 29/Nitrogen. Nitrate as N 48.Chrornium. Total 67.’yoFatil,es; 11. Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium. Hexavalent 68. Semi-violatiles 12.-'Total Organic Halides- 31. Nitrogen. Total Kjeldahl as N (^OJXjbalt . 69.Pesticides/PCB’s^ 13. Solids, Percent (%) 32. Oil an Grease . .. 51.Cpp'per 70. Disk Deli.yerabtes'’ l^kolids. Settleable - 33. Phenol 52. Iron _^Rolids, Suspended ’ 34. phosphorus Total as P 53'. Lead, _ , 35. phosphorus. Ortho as. P --- 7y;TCLP.r^tala. M6.''Sdids.vroUiP. 54 .Magnesium,. ... 72.TCLP^Pesticides 17. Solids,Total.Dissolved ■. 36. Sulfates 55 Manganese; YS.TCLP-Herbicides V^S4Solid8;iT6taljyoiatil^. ■ 37. Surfactants- &5..Mercury; :74.’’TCLI?rVoia'tiresr C^9^ther:.» $ir*» -f • • 38;,IJV254^ (^7AMohfefenunn-. •«. ‘U** J r’ . J

, . 58;Nickel' /“' i75.'TCLR-BNA's3 Z* c

NYC-WTC_000072268