Chain of custody record, Westchester County Dept of Labs, Jan

NYC 9/11 Public Portal Document !

■■ /es^ieSer^xkj^T^ !SS JD F SEARCi a 2/Me. Road. Valhalla, New York 10595^ (914 231-1620 Fax 914 231-1772 I 2 N . \/ . r.ve..ApK, .^'tb-..LAF No lUivS Time/Date Sol _________ /06<v r < J f , -.gjx ■.... . - r.'1.11.3 7u .rt.v..0,4.1) J.

San,pleType ... ......... . O n O '■ /2)Potabie ; 3. Non Polable Treated Bottle #’s: rSC4iMArri^£ilSli^_..., 2. N.'iiPokibM -i Other . . ... .................................... Cimir; (.TCiiththv? Yrm No Time/Date Collected:____j__ : . -_______________ f </ Comments;____________ ______________________________________ Collected By: £. -Agency Code: PWS #: ___________ _ ’ sLurce iD: ~ Tyo'e Descriptor:_____ Collected From: '' Bill io- Location’s/lndividual’s Name M Vf "bG P________________ Name/Company________________ L________________ ____________ Street _J4__bkSLbL2h_£h^^ ____________________ Street

City/Sh/ij’...^.C ■ .l.b-r V.'.... .V-)'.; .t -'. rS ■iO City/St/Zip identification of Source___________ I Phone#; Fax#: : ■

Collection PoY- ;3; CA,CH, Bi? CnccKS; Aiaonnt?

BACTERIOLOGICAL ANALYSIS i ai;- - - - - Lab#; , _ ____ :________________ ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE; SOUD ANALYSIS __ Heterotrophic Plate Count (hemodialysis & all others) __ Trihalomelhanes (524) -rrgnnhlr- Ha'nca^hon^ (e?4'h?sn) __ Coliform P/A (Public supplies) ■ LXVoiatile Halocarbons (524) ..rX^oiatiie Aromatics (524) __ Purgeabie Aromatics (624/8260) Acroleins Acrylonitrile (8260) ;j -i __ Coliform MPN (priv well, raw, stp) II __ Fecal Coliform (all samples) I I ___ Total Trihalomethane Potential (510) „„ Organochlorine Pesticides (608/8081) = I . .. Microscopic __ Macroscopic = p“SlXrecS>(30S, i Is __ Other Pesticides (SMI8/6630) ZZ Other: Refrigerated? yes.__.no “ 2"S SLe, ,531, - Chlorinated:? yes no -«Wbt«.lo (M.-l ” E,-» Not,1,01 rxl, ctables (625/8270) ■ ..Diqunt IMtb iZSows Untoro can - F ree Chloriiio Res:................. 'ho/L __ Chlorination Disinfection Byproducts (551) __ Phthalates (60i '' II Total Chlorine Res: rnq/L _ Haloacetic Acids (552) __ Other___,____ pH_____________ _ Other Pesticides (SM18/6630) ....... UCMR List : " -.. . -..."**^*^‘® _ MtBE Only (524) ' ?

other----------- ■ ___________________________________________________________________ i INORGANIC ANALYSIS REQUESTED - Lnb#: ■ I SoiOlliiirn _ Biomiue

.» 2=“"”- J= _ Bromate/Chiorate/Chiorite

Zcyal^ide ___ Barrurii

_.BOD(5J..y) __ Cyanide Boron __ Vanadium j BOD (5BOD Carbonaceous Z soluble da,)'(5 da- __ Fluoride _Cadmiun ■ . i iardnc5s. Total as CaCO- CuiiAnn .{uCuCOi H i . . CUmUciy Oxwai Demand __ Nitrogen, Ammonia as N __ Calcium, . C.i”’ Dissolved Oxygen . Nilicoi'r:. NiiulonsN ...Chiomiu :.l, ioioi s| . . Total Orgii' • - • arbor _ Nitrogen, Nitrite as N Chromiu Ui 'ri'idei __ Nitrogen, Total Kjeldahl as N t/cobalt •si rila sai • I Q- H hf| ids. Suh: ar. P 1(1 os

>s. Toi latiiei

NYC-WTC_000073154