Chain of custody record, Westchester County Labs, Oct 2001

NYC 9/11 Public Portal Document

westcTeste^c^^^^^^^^ U'fU ' ■ m 2 Dana Road, Valhalla. New York 10595 ;9H).231 1620 Fax (914) 751-177? .'X ; A BSaS .#T16Rto,‘. .UJWKJIWU NYS ELAP Ne. 10168 Time/Date Set; r /Z317ZA..^4^Y Form A-70(rev.10/01)

■ * sample Type ( VPotable 3. Non Potable Treated ; fyl. - V V. -• .Bottle-#*s: C~t2."7( '7 (,<' r-< ___

2. Non Potable 4. Other Chain of Custody?Yes No Time/Date Collected: QQ | Z Comments: Q„ii—o,„ / La.., \gency Code: PWS #;_______ Source ID:Type Descriptor; Culicctod From. Bill to Location’s/lndividual’s Name I? v ‘ ____ - Name/Company Street___ iZ___ Wf L. t / ..V t____ Tof , vdC.____ , Street________ City/St/Zip _j2£iXH£<JlLL_^^ City/SVZip J Identification of Source_______________ _______________i Phone#; Fax#:„ Collection Point C. fe O (3 E| i CA,CH, Bl? _ Check#: Amount?.

BACTERIOLOGICAL ANALYSIS Lab#:___________________________ ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABt. E/SOLID ANALYSIS __ Heterotrophic Plate Count (hemodialysis & all others) __ Trihaiomethanes (524) ___ Purgeabie Halocarbons (624/8260) . ,.'Vol;i!ik: H.ilocsii!..7ns in>-5) . Purg.-nnio Aromnlin. {!i24#i?Ufh __ Coliform P/A (Public supplies) __ Coliform MPN (priv well, raw, stp) ..-Volatile Ar-m.=!kt.; .. Aer.'lom & Aoryionit.iie (8:>6U) __ Fecal Coliform (all samples) __ Total Trihalomethane Potential (510) __ Organochlorine Pesticides (608/8081) __ Microextractables (504) Z_^ PCB’s (Arochlors)' (608/8081) „„ Microscopic Macroscopic

Z Other:_______________ _ ______ zSkmisss, ' t' Refrigerated?yes Chlorinated:? yes no no ■ . t;a:l.,imate|-.tsii.;tde:r ib.H) _ Glyphosate (547) ... Diquat (54?) . Aetd Lxtmoiahiec (ii.dviOVm Base Neutral Extractables (625/8270) ..t-^5C^MS unknown Senn a® Free Chlorine Ros ...... mg/i __ Chlorination Disinfection Byproducts (551) ___Phthalates (606MS) Total Chlorine Res:...y i mg/L ___ Haloacetic Acids (552) ___ Other: __ Other Pesticides (SM18/6630) pH ---------------------- y_____________ UCMR List 1 ■BBS ■ RAbiOf;HEM!CAL7^At.:YSIs''‘... _ MtBE Only (524) ItSi ___ Radom OU __ Other J ■I iNORGANSC ANALYSIS REQUESTED • I oi-Y __ Color __ Aridity __ Aluminum __ Potassium __ Turbidity __ Alkalinity IliillilllBilB t Antimony __ Selenium pH ___ Bromide __ Arsenic Silver ; __ Conductivity ___ Bromate/Chiorate/Chlorite __ Barium Sodium Corrosivity (temp:.;“C) __ Chloride _L^-'Beryllium Hianium .fefThaliium __ BOD (5 day) zSmIum Zan™*“'" __ Carbonaceous BOD' (5 day) ___ Soluble BOD (5 day) __ Hardness. Total as CaCO3 i „ Calcium, as CaCOs 1-773----------------- slOl __ Chemical Oxygen Demand Dissolved Oxvuen „ Total Organic Carbon ; ssssssSn'" . N,1,Nit,Ileus N cfesx. . a.o«.,si . . Tot,, 11 _ Solids, Percent (%) ' ..... . |s ___ Solids, Settleable Z S<4lds. Suspended t;--....... . , Phenol 3(ls

I __ Solids. Total CLKMoUib. Sends. 101,11 Dissnived yoKk., iblul yobWt, .. SurfucuinL- .Merrmv CI.I •-Hcrbu.iuc:. I-. I • . I jv^ther: __________ v; ________ ...... :

NYC-WTC_000072886