Chain of custody record, Westchester County Department of Labs

NYC 9/11 Public Portal Document

ET^giMENTAl^^ ’jBjifijlovoom . WEST^jffiKTEFTcOUNlYljiBpRAf^^ " 4 2 Dana Road, Valhalla, New York’'10595? , (9'14)593-5575 ’■ ,1 ; NYS-ELAP’No. 10108 ■Time/Date Set:' • • • ' 7Form'A-70(rev.1/9^H

Sample Type?-(circle one): ^^otable ' - 3. Non Potable Treated^ Bottle #’s: z ' 2. Non Potable ' 4.'Other A '_________ —— Chain of Custody?yes no ‘ f ’ Time/Date Collected: /e -TT-o/ Cominents: ••. - Collected By: ■ Kl^tVzYVAzJ Agency Code: . PWS #': ’ Source ID: Type’Descriptor: Collected From: a i </' z i\ D/ Bill to: Location's/lndividual's Name ■ '■ ~ Name/Company Street 19 LK. - Street________ City/St/Zip /O5h5~________ City/St/Zip Identification of Source______:______ i_____________________ Phone#: Fax#: Collection Point ______________________ ■ ■ > ■ ‘C ' CA.CH, Bl? Check#: •Amounts.

BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOUD ANALYSIS^ Lab#:'________________________ ''Lat^: __ __________ ___________ (circle?tests)’ - • • • ■^(circle tests) ■ . -- ■ 1. Heterotrophic Plate ^? 'Trihalomethanes (524) 1. Purgeable Halocarbons*(624/8260) Count (hemodialysis & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) -J 2. Coiiform P/A (public supplies) Volatile Aromatics (524) 3. Acrolein & Acrylonitrile |(624) 3.;C6liform MPN , (priv well, raw, stp) \ 4? Jotal Trihalomethane’Potential (510) ■ 4.^ Phthalates '(625/8270’) V ? ? XI 4. FecaI Cbliform (all samples) 5^;'Microextractables (504) 5. Organochlorine PesticideV,(608/8081) S.-'Microscopic i 6.- Pesticides (507) 6, ..PCB’s (Arochlors) (608/8081). . ^. Macroscopic, , '(^. Pesticides/PCB screen (508) y.’Methoprene (616) - i 7/API?' • ■■■ f 8'., PCBas Decachlorobi phenyl-(508A). 8.'?' Herbicides (EPAI 978/8151) 8. Other:, 1 Hert^ides:(515)' , 9j,f^k^s;(^18/6^0jy_^ ■/ Qjl? Pesticides'. (525) 10?' Petroleum Hydrocarbdn .Scan (310-13) Refrigerated? yes no •11. Glycols; • ■ • ... .11.. Carbamate, Pesticides (531) Chlorinated:?''yes no '12.’ Glyphosate (547) ' ■ 12?'Acid'Eia-ractables (625/8270) ’ iKpiquaf (549) ' ' ■•--IS.' Base Neutral E)dractabies - (625/8270) .. Free Chlorine Res:2^ mg/L 14? Chlorination Disinfection Byproducts (551) GC/MS Semivdiatile'Unknown';Scan " ' Total Chlorine’Res: ?mg/L 15. Haloacetic Acids (552) n5. Purgeable Hal6carbons (DEF '16. Pesticides (SM18/6630) IS? 16. Purgeable Aromatics (DEF) 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB's’(DEF) •18. Other:_______ ;__________________ .18. Other:,,,

INORGANIC ANALYSIS REQUESTED ; Lab#: - (circle tests) ’ -. -• ' 1. 1.- Color . . , < 20. Acidity • 39. Aluminum 59. Potassium 2. .Turbidity ' . . ' 21 . Alkalinity, as CaCOs • - ’• ^WAntimony 60. Selenium i 3.- pH ■ ■ 22.'Bromide ... ' ’ Arsenic '' 61. Silver . ' 4? Conductivity, ■< ; -23. Bromate/Chlorate/Chlorite’ 42.^arium 62.' Sodium Ip ”24.'Chloride, (^^^erylliurfi Thallium ’’ 5.-; Corrosivity (temp:®C) 6. BOD (5 day) 25. Cyanide .44.Boron Vanadium 7. 'Spluble BOD? (5day)' 26..Fluoride 45. Cadmium ^65. Zinc •■ 8. Carbonaceous BOp_ (5 day) 27. Hardness, Total as CaCOs 46. Calcium, as CaCOs ei=p- “ • 9. ChemicarOxygen Demand , ’ • 28, Nitrogen, Ammonia as N . 47. Calcium’ Ca*® ‘66. Metals/CN 10. Dissolved Oxygen’ , , Z29. Nitrogen, Nitrate as N 48.'Chr6mium, Total’ '67.' Volatiles, 11. Total Organic Carbon 30. Nitrogeri, Nitrite as N 49. Chromium, Hexavalent .68?Semi:Violatiies 12.^1b,ta[,Qrganic? Haiicles ' 31. Nitrogen,.Total Kjeldahl as e5d?cpbaif ■ ; ; “ 6_9.-Pesticides/PCB’.s , . 13. ^olids,‘PercenU(%).' • 32.-6il an Grease. 5j.Copper . * • -70. Disk Deliverables 14.’'SpljdS5.Sertleable; ’ ^,;^henol/ _ 52. Iron 3^ l=hpsphorus fotafas 53Xead- -TCLP'» '15?,S6lids’Suspended. (Tfl .TCLP-Metals' i le.'Sdlids.vTptaH ' 3^Phbsphorus,^ Ortho'as ^ Magnesium' . i 3^Sulfates< 72:TCLP;Pesticides; ( 17.-Solids? TotarDissolver^!- -73'’.TCLf Herbicides. 3zlsiiifaWn^ ■ ^/Mercuryj i^sfcXg-yolatilei') ) 19? Oth^r:' .yl.in .. ^38> ' j^^otyt^num^ ' ! ^Nick^elf •

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