Chain of custody record, Westchester County Department of Labs

NYC 9/11 Public Portal Document

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» >•. « *. -.'/P'. 2 Dana/Road?-Valhalla; New York; 10595? , '’ * . (gil4) 593-5575. ' / - • • ■ - , • NYS;ELAP No. 101^ Time/Date Set: ■ •J•• ■ - ... . . . . - • ... .■ •• •—^*1 V;,

Sample Type .(circle one); • . Quotable ' 3. Non Potable Jreateci^; Bottle #’s: 2.' Noh Potable 4. Other .jf- Chain of Custody? yes no Time/Date Collected:’. Z/o5^ Comments: - Collected By: /V/■ tA/AMAj - Agency Code:. ■• PWS #:, 1 Source ID: _Type. Descriptor: Collected From: ■> / Bill to: Location’s/lndividual’s Name _ r^-'C-h^r_7 /<£Aj Srr O Name/Company’ street /"t Ll'. __________ Street _____ City/St/Zip __________ City/St/Zip Identification of Source____________ ' -V*' ■______ __________ Phone#:_______ Fax#: Collection Point CiEl/?-'' C^CH, Bl? Check#; Arnbunt$. •■ .V' -. •'

BACTERIOLOGICAL ANALYSIS ^ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#: _______ ‘ TatHff'L—__________ : (circle tests) ' ■''(circle tests)' A:'. . 1. Heterotrophic Plate -'I'.-'Trihalomethanes (524) 1. Purgeable Halocarbons . (624/8260) Count (hemodialysis & all others) i/^'^Volatiie Halocarbons (524) 2. Purgeable Aromatics . (624/8260) 2. Coliform P/A (public supplies) 'i^jVolatile Aromatics (524)' 3. Acrolein & Acrylonitrile ff624j . . B 3. Coliform MPN (priv well, raw, stp) v4?i'^ot'al trihalomettiane' Potential ’(510) 4. Phthalates (62^8270'j^ , • 4.^Fecal Coliform (all samples) ^^Microextractables (504)' 5. .Organochlorihe Pes'ticiife''(608/8081)‘ 5. Microscopic i 6/-Pesticides, (sop '6?'PCB’s“(Arochlorsj'(608/8081) ■ ' ■6. Macroscopic ;(^Kl^esticidesj'P^CBscreen-(508) ...... ■ 7.; Methoprene (616) *7 7- 6’’-' 8?'^PCB as^D’ecachlorobiphenyr (508A) t 8'. Herbicrdes(EPA1978/8T51) " -J 8. Other:- ^9^AerbicideK.(^5)j ' 9\5esticid^(S|^^3^_ . . Pe^icides'; (525). 10.. Petroleum Hyd_ro_carboh Scan (310-13) ‘.v Refrigerated?yes no i 1 l.i Carbamate'Pesticides .(531) , 11. Glycols; • Chlorinated:?yes no 12'..Glyphosate. (547). '12. ZCcid Extfactables, (625/8270). '•13. Djquat^ (5^9)^ v?'* . 13. Base Neutral ____E)3ractable^' . (625/8270) Free Chlorine Res: mg/L 14'. Chlorination. Disinfection Byproducts (551) ' (I^GC/MS'Semivolatile.Unknow^^^ Scan Total Chlorine Res: nig/L 15\Haloacetic Acids -.(552) 15. Purgeable Halocarbons' (DEF)t. 16. l^estiddes^SMI 6/6630). 16. Purgeable Aromatics'(DEF)'’ pH • 17. eetroleurfi/Hydrocarboh Scan (310-13). 17. Pesticides/PCB’s (DEF)’ '"18/ ‘6the'n_2___________ i___________ 18. Other:

INORGANIC ANALYSIS REQUESTED - Lab#; 1 (circle tests) 1. Color 20. Aridity > t I.

39. •

Aluminum ■

■ 59. Potassium s? f" i

2. Turbidity 21. Alkalinity, as CaCOs; (4b^ntimony 60. Selenium' 3. pH 22. Bromide , 41. Arsenic 61.'Sliver •1

4. Conductivity 23.’ Broma'te/Chlorate/Chlorite 42. Barium' 62. Sodium S . s ’ 5. Corrosivity (temp:®C) 24. Chloride (^^^^^eryllium’ x^^halhum 5 6. BOD (5 day) 25. Cyanide' 44. Boron' Vanadium' 5 . ■ 7. Soluble BOD (5 day) 26. Fluoride . < 1 45. Cadmium , ,65.’ Zinc’ ’ 8. Carbonaceous BOD (5.day) 27. Hardness,.-TotaLas CaCOs; - 46.CaJcium. as,CaCQ3;- CLE, , - . • 9. Chemical Oxygen Demand 28.>Nltr6gen,*jfli!p.mpnia as.N? - 47. Calcium/Ca/^’ 66. Metals/CN i 10. Dissolved Oxygen .» Nitrogen,'Ni.trate as. Nb 48i Chrqmi.um,-3Tgtalj 67r Volatiles’' 11. Total Organic Carbon 30\Nitrogen, Nitrlte'as N> '4?Li.Chromium;,Hexavalent. (6^Semi£violatiles^ 12/Total (Organic Halides/ ; 3jll^rpgeri,jTotai'l^dlrfiCas'N>(^g^ ............. 13. Solids,'Percent' (%) 32'.'Oifari)G'reas£' 5_1. Copper/ izo; Dl^Deliyerabtes; •f 'l'4)SoHds/Settleable’ 33?Phenoir = 52) Iron' j. t£Lr) V /15? Sdlids;ySuspended 1 3j4\l^bosphbrus'Total'as 53.Lead^ j.zA^^L^-Met’als* ! • 1.6?’,SoTids,:t6tal} . ' .“ 35?.Ph'osph‘'orus,drth6asP'' 54.Magnesiurfi'. i72.(TCLft^e%tiadesj. ■ 177 Solids/TotalDissblved; SigvSlilfates'. - ' 55:M^gar^esej ■ 37tS^rfactahtsj J^Mercury^ 173’^TGLP^--Herbicides/ J •IS/^syfbt^Ak)^' 38>dV25(t) O^Molybd^urhi ( prrdlleVolatiles^ j 1^: Other"; - ^75;.fcLfe-BNA^

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