Chain of custody form, Westchester County Labs, Oct 2001

NYC 9/11 Public Portal Document

ter I 1 3 corn WESTCHESTER^COUNTY LABORATORIES AND RESEARCH . ' (914)593-5575 ' ■ > ■■ NYS-ELAP No. 10108 Tge/nate Set: Pom A 70 (rovA-ns)

(5 Potable 3. Non Potable Treated Bo«e

2, Non Potable 4. Other Chain of Custody? yes ___ no .............. -- Tlme/Date Collected: _ /O fO-Cg Comment;- , i ................... "■■■? ............. "............... " ■>.....................................

Collected By: 'AiL'±LC££_____ — Agency Code: _______ PWS #: ____ Source ID; Type Descriptor;^ Collected From: Bill to: OHII Location’s/lndividual's Name Ao?yC.. I" X Name/Company Street__ IJ__ hlC.2-: .... i ' C. _____ ; Street __ ______ City/St/Zip, (ZO i z-v t t I <■ _ ■’ __ 1.7 53$J z iOJiilBillBjll Identification of Source Phone#: _ __ _ Fax#: __ Collection Point PC i ■ CA.CH, Bi? Check#: Amounts,

BACI&aiOl.OGICAL 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 & ail others) .<2. >Volatile Halocarbons (524) 2, Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) ''■3/ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4; Total Trihalomelhane Potential (510) 4. Phthalates (625/8270) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Orqanochlorine Pesticides (608/8081) 5. Microscopic ' 6, Pesticides (507) 6. PCB's (Arochlors) (608/8081) 6. Macroscopic (7/ Pesticides/PCB screen (508) 7, Methoprene (616) 8, PCB as Decachiorobiphenyi (508A) 8. Herbicides (EPAI 978/8151) Q„. Herbicides (515) 9. Pesticides (SMI 8/6630) ^1(1/Pesticides (525) 10. Petroleum Hydrocarbon Scan' (310-13) Refrigerated? yes no Ti. Carbamate Pesticides (531) 11, Glycols Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) ■ 13,.^Base Neutral Extractables .(625/8270) Free Chlorine Res:. mg/L- 14. Chlorination Disinfection Byproducts (551) (14/GC/MS Semivolatile Unknown Scan Total Chlorine Res: mg/L^ 15. Haloacetic Acids (552) ^^g^ftgg^^l^^SgfgSKi^^glgggggggiglggg 16. Pesticides (SM18/6630) pH^ 17. Petroleum/Hydrocarbon Scan (310-13) SSi^^^SSggSsSBggKggSggggg& INORGANIC ANALYSIS REQUESTED ■ Lab#: (circle tests) 3.9, Aluminum^ Potassium 21. Alkalinity, as CaCOa YTOJ Antimony ' 61, Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite ^gg^^l>txsagggggggggggggg^:ggs .562, Sodium 5. Corrosivity (temp:' «C) (^$Beryllium Thallium 6. BOD (5 day) 44. Boron (_64s Vanadium 7. Soluble BOD (5 day) liOOilBBOlilllliliiBill 65.' Zinc 8. Carbonaceous BOD (5 day)- 27. Hardness, Total as CaCOa : 46. Calcium, as CaCOs CLE ■' ^9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N ^^Calcium, Ca "^ , 66. Metals/CN ■ 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N ' 48. Chromium, Total' 67. Volatiles, 11. T'btai Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-violatiles 12,-' Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 69.Pesticides/PCB’s 13. Solids, Percent (%) 32, Oil an Grease _51. Copper 70. Disk Deliverables - 14. Solids, Settleable 33, Phenol (5^ Iron ' TCLP flnSolids, Suspended 34. Phosphorus Total as P 53.Lead T^Solids, Total 71.TCLP-Metais 35. Phosphorus, Ortho as P Magnesium 17, Solids, Total Dissolved 1.8. Solids, Total Volatile 36, Sulfates 37. Surfactants Manganese 56,. Mercury S' 72.TCLP-Pesticides 73. TCLP-Herbicides sfliivjxu 74. TCLP-Volatiles (pother: . "I ,j z«;7> 75. rC! f' PNAs ’■I li ilB

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