Chain of custody record, Westchester County Labs, Oct 2001

NYC 9/11 Public Portal Document II 1 '”.■''‘■‘■'^7'''' ’ ma^ ''s'-7' .,'' '"S'

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(914)231-1620 Fax (914) 231-1772 * NYS FLAP Nc. 10108 Time/Date Set; r -lH ! Form A-70 (rev. 10/01)

Sample Type (circle one):' ■ LV“ >33 ' f1>0table 3. Non Potable Treated Bottle #’s: 2. Non Potable 4. Other Chain of Custody?Yes No • i *-'< Time/Date Collected: ■’ m i " - ■■ ' _______________________________ __ ___J Comments: Collected By; .A:)'■; i'Drw r -■ Ai jcncy Code- ...... PWS#........... . Some.: ID:.. . Type Descript.!!: Collected From: Bill to: Location's/lndividual's Name j\.» ‘'v L A______ ; Name/Company: Street i Street _ _____ _ City/St/Zip City/StfZip Phone#: _ Fax#: Collection Point ; ■ I 'i CA.CH, Bi? Check#: Amounts

BACTERIOLOGICAL ANALYSIS Lab#:: Lab#: : ORGANIC POTABL E. ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS __ Heterotrophic Plate Count __ T/ihalomethanes (524) __ Purgeable Halocarbons (624/8260) (hemodialysis & al! others) ^X/Qlatile Halocarbons (524) __ Coliform P/A (Public supplies) .^Volatile Aromatics (524) = __ Coliform MPN (priv well, raw, stp) __ Fecal Coliform (all samples) — Total TrihalomethanerPotential v. (510) (!:;t C'l les {WWVaOBi) I (601 ZJS =S “ .......... cS’, .................. les :sMi; 3/663( estii •ide;/ 301 __other:______________ _ Refrigerated? yes„-no3 - Pesticides (525' Carbamate Pesti ... /'Bn.vL,.. i s„,„

Chlorinated:? Free Chlorine Res: Total Chlorine Res: J A'- ______ mg/L ______ mg/L IIO 1 =SS?“ 7., Haloacetic Acids (552) __ Other Pesticides (SM18/6630) __ Other:________ ;____________ ___________' ) ' pH_____

RADIOCHEMICAL ANALYSIS ,..^MtBE Only (524) _ __ Radon __ Other I

INORGANIC ANALYSIS REQUESTED - Lab#: BH mill __ Color __ Acidity __ Aluminum Potassium .. ' __ Turbidity ___Alkalinity _iXritimony . Selfinn.m _ pH __ Bromide ___ Arsenic ........ Silver - : __ Conductivity __ Bromate/Chlorate/Chlorite ___ Barium __ Corrosivity (temp:“C) __ Chloride _><6eryllium __ BOD (5 day) __ Cyanide ,___Boron _ Vanadium i.. l.'arboiiai’oous BOD iO dayi . . Fluoiidfc . . Ciidmiurii . Solub!.’BOD (Sdny) __ Hardness, Total as CaCOs ___ Calcium, as CaCOs Chemical Oxygen Demand^ __ Nitrogen, Ammonia as N: _ Calcium. Ca«' %,.a,s,CN Dissolved Oxygen __ Nitrogen, Nitrate as N _Chromium. Total v'nlaiiios . ... Total Orgtinic Cuihoi. Nitrogen. Nitrilo ns N . Gitromium. Hexavalent «,ni.vWnlilori ToiaiOipanic Halides __ Solids, Percent (%) -• M.tr...... i.,, .i kioid-j.i ... m -uSi... i r-.u-.ii ■I •estid»loi./PCi IB . . Solids, Settieable _ Phenol . :^ron Cl lO Sol d.;. Suspended Pitosphoni;. ’lokil ns P .. . Lend

1 - ixissssr Solids lotnl _... Phosphorus, Ortho ns P Muqtiesitim ici

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