NYC 9/11 Public Portal Document
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Time/Date Collected:_____ U _____ _________ £1.^1:^ Comments:
Collected By: Agency Code: PWS #:...Source ID: Type Descriptor:
Coliected From: Bii- to
Location's/lndividual’s Name Name/Company---------------—- ----- 1
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street ____ Street............. ....... .................... ......... I
City/St/Zip H'/H kt.___ _________ B _________ J City/SVZip
identification of Source ____________________ ____________ Phone#: ___________ :____ Fax#:;
Collection Point ___._BL.ilkI______ L 1~ r""_________ _J
CA.CH, Bi?^ Check#:I Amounts,_________
BACTERIOLOGICAL ANALYSIS Lab#:-------- --------------------------------------- .
Lab#:___________________________
ORGANIC POTABLE ANAt/fSIS ORGANIC NONPOTABLE,SOLID ANALYSIS
__ Heterotrophic Plate Count
__^ihalomethanes (524) C iirnnatHntiaiocnrhons ((524/82611)
(hemodialysis & al! others)
__ Coliform P/A (Public supplies)
jkVolatiie Halocarbons (524) __ruigeauie/
__ Purgeable Aromatics (624/8260)
U-^Vokrtilo Aromatics (524) „ Acrolein
Acrniein & .
* Acrylonitrile (8260)
__ Coliform MPN (priv well. raw. stp)
,LSiiciLlL=S (WRVWb
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_ Macroscopic
E ;s2 <=«3a, =
ZoiCec---------------------------- B
Refrigerated?yes ___ no
Ttssfs
C.irii.rnKit'-tT;'4:L.!.io..
z Acid L xlmcr.rlrics (t.?;vB?/ui
Chlorinated:? yes no
Free Chlorine Res:mg/L ■ rS3S^kslnfec«=nB«»odu«.(551) Z ?h “ate,o" (SSf) \
Total Chlorine Res:mg/L _ Haloacetic Acids (5521 __ Other;__ __________ J______ ____ L
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._Other Pesticides (SMI8/6630) ' “___________ __ __________
IB pH--------------------- --------------------------- .„UCMRList1 _______________________________
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RAOioCHEMiCArANALY^ „„MtBE Only (524) ■
__Radon
__ Other________________ __________
I _________________________________________________________________________
INORGANIC ANALYSIS REQUESTED - I oh#
..... - ......... _ —
Color
__ Turbidity ... Alknliniiy . i-Aidimoi:v ' ....Soinnium
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__ Conductivity
. L- ■.
,-:;«CN,„a.e,CL«,
___ Corrosivity (temp:---------- “C) ■Mi
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__ BOD (5 day) . .. z^ — rari^ilim . Vanadiu!.
Carbonaceous BOD (5 day) _ Fluoride /in;-
Soiiibio BOD fl« dny) -aSZasCaCO, :
Chemical Oxygen Demand ' Cnkium,
-------- . . x-x
Metals/i
Dissolved Oxygen ^Chromium, Total ■
'■ Tolal OrqruBC CLKbon ... Unomii.mjioxnv.l. Itl
v'o:;rjio!
.... les
ictal Org.ujiC n.iJiJus . .. Ndrojon, lot.rl K'da.ili! .it ? ■hnki
Solid;;. Pi !c;crit ('’:.) and Greasi
•si ^CB's
i >ppel
■■■ Solids. SoWeab.e enol •n :c
7 Solids. SusF^niUKi I
So! d;;, Tbt;il phorusi IS
__ So ds, Total Dissolved os 1
So ds, Total Volatile It
T
irl
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NYC-WTC_000073152
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