Chain of custody record, Westchester County Labs, Oct 2001

NYC 9/11 Public Portal Document

T UChk'J s., ivvoni WESlCHfcSTER COUNTY LABORATQRihS AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914)593-5575 NYS-ELAP No. 1 Time/Date Sett

Sample,.Type (circle one)/ 'Impotable j ;3. Non Potable Treated Bottle #’s: _____ 2. Non Potable 4. Other________________________ ■ Chain of Custody?. yes no ?! Time/Date Collected: Comments:. Collected By: ( > o_______ Agency Code: ____ ||iO|i:||l||l| Source ID: Type Descriptor: Bill to: Location’s/lndividual’s Name, P-we he r Name/Company _ Street / f • hf‘(jK' YSSiBiSsBilii!®? City/St/Zip: / ■' 1 // S Vs Identification of Source ______ U Phone#; _____ Fax#; Collection Point CA,CH, Bl? Check#: Amounts.

BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS !|M|jj||||||M (circle tests) (circle tests) i. Heterotrophic Plate 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) /2. ^Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) U3./Volatite Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4/ Total Trihaiomethane Potential (510) 4. Phthalates (625/8270) 4, Fecal Coliform (ail samples) 5, Microextractables (504) 5. Organochlorine Pesticides (608/8081), 5. Microscopic ,6... Pesticides (507) 6, PCB's (Arochlors) (608/8081) 6. Macroscopic 'l. i Pesticides/PCB screen (508) 7. Methoprene (616) 7. API 8/ PCB as Decachlorobiphenyl (508A) 8. Herbiades(EPA1978/8151) iiiiBUi 8. Other: : 9... Herbicides (515) 9, Pesticides (SMI 8/6630) ld<Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? , yes no 11. Carbamate Pesticides (531) 11. Glycols ; Chlorinated:? yes no) 12. Glyphosate (547) 12. Acid Extractables (625/8270) . i 13. Diquat (549) 13. ...Base Neutral Extractables (625/8270) Free Chlorine Res:! mg/L! 14. Chlorination Disinfection Byproducts (551) (j4..GC/MS Semivolatile Unknown Scan! 15. Haloacetic Acids (552) 1'5^ Purgeable Halocarbons (DEF) Total Chlorine Res: 'j mg/L 16. Pesticides (SMI8/6630) 16. Purgeabte Aromatics (DEF) pH . 17. Petroleum/Hydrocarbon Scan (310-13) 18. Other:_______________________ 18. Other:;

INORGANIC ANALYSIS REQUESTED - Lab#:! (circle tests) 1. Color 20. Acidity (59^, Potassium 2. Turbidity 21. Alkalinity, as CaCOs (40)Antimony “60. Selenium 3. pH 22, Bromide 41. Arsenic 61.. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42..Barium ^^Sodium f ®C)! 24. Chloride ^.Beryllium f^JThallium ( 5. Corrosivity (temp: 6. BOD (5 day) 25. Cyanide 44. Boron .Vanadium) 7. Soluble BOD (5 day) 26. Fluoride 45, Cadmium 65. Zinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOa ^G.-Calcium, as CaCOa Sp~ 28. Nitrogen, Ammonia as N <4.7..Calcium, Ca*” I 9. Chemical Oxygen Demand 66, Metais/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48. Chromium, Total 67. Volatiles 11. .Total Organic Carbon 30. Nitrogen, Nitrite as N 49^Chrom!um, Hexavalent 68.Semi-violatiies Z.'Total Organic Halides 31. Nitrogen, Total Kjeldahl as N /SO.Cobalt 69. Pesticides/PCB’s 3, Solids, Percent (%) 32. Oil an Grease -------- '51.. Copper 70. Disk Deliverables 14, Solids, Settleable 33. Phenol. ■ fejron TCtP 15 Sol- S.:.pend- 34. Phosphorus TOai as 53.t^d.......... 71 .TCLP-Metals ved 36Su!fat?s-' ’ ' fes jvianganese lOI 72.TCLP-Pesticides 73.TCLP-Herbicides AS. iCI.P-Voluhtos f9?Othen_^_J'l_________ 38.UV254 . »7 Moly-bdenum 75.TCLP-BNAS s 58. Nickel ■ NYC-WTC_000072838