Chain of custody record, Westchester County Labs, Feb 2002

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMISsibN FORM ’’ Y* - ster WESTCHESTER COUNTY LABORATORIES ANP;RESEARCB i .11 )vcom 2 Dana Road, Valhalla, New York 10595 (914)231-1620 Fax (914) 231-1772 -p: -' -" , NYS-ELAP No.' 10108 Time/Date Set: ' ' , /P Form’A70 (revj 0/01)" ’

Sarnple Type (circle one): - P' P-'^ /7. "'1: Potable Jj 3. Non Potable Treated Bottle #s: - • .,2.-Non Potable 4. Other __ ________ . ______ . Chain of Custody?^Y±^es L^ No Time/Date Collected: ' P 7^/^0 Comments:PA. ‘ Collected By: ]P ' f / r < > , Agency Code: PWS #:_______ y Spurce lD: 2 Type Descriptor: Collected From: Bill to: j'V : Location’s/lndividual’s Name A--''. / •:'! A. P Name/Company ■ Street I ?Ay • 1 A n C Pf Street / - City/SVZip i?'v 't 6 A’ /eS City/St/Zip_______ Identification of Source Phone#:_______ 'Fax#:l Collection Point . z'.? A Is CA,CH, Bl? • ' Check#: Amounts ■

BACTERIOLOGICAL ANALYSIS Lab#: Lab#:_______________________ ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS __ Heterotrophic Plate Count __ Trihalomethanes (524) (hemodialysis & all others) Purgeable Halocarbons (624/8260) ‘ ' Volatile Halocarbons (524) »A.^ Purgeable Aromatics (624/8260).. __ Coliform P/A (Public supplies) Volatile Aromatics (524) .AAcAcrplein & Acrylonitrile,'(8260)' 2_ Coliform MPN (priv well, raw, stp) __ Fecal Coliform (all samples) __ Total TriKalomethane Potential (510)' _ :Organbchlorine Pesticides (608/8081) __ Microscopic )__ .■ Micr6extra_ctabjes (504) _ RGB’s (Arochlors) .(608/8081) . .;_^ Pesticides/pCB screen (508)'^ ’□^eWdes^SlKil 8/6630,8151), __ Macroscopic _ API ; . PCB as'DecacHlorobiphenyli (5b8A) 21‘®.‘ber.Resticides (SMl 8/6630), Herbicides) (5.15); ’ ji^,!j^etrpIeum Hydrorarbpn Scan '(SI 0-13) ■' ■ __ Other: :_______ _ Pesticides > (525)- ^..Gi'ycolsiin Water , ' Refrigerated?yes ___ no __ Cart?amateResticides''(531 £ &cid?Extfactables; (625/8270) . _ &y^ds^ (g47)j . Base;JMeutral.’Extractables’^ (625/8270); Chlorinated:?yes rib 'J ^Djquat;(549)^ ,L^?GG7i9iB'Oriknown’Scan” FreerChldrine Res:mg/L _ Chlorination' Disinfection. Byproducts"? (551) ,^‘F4itK^afesX^6MS\r . . Total Chlorine Res:_______ ; mg/L __ Haloacetic Acids''(552); . ' ‘ S. Other:-__________ ‘ X -1- - . . . _other Pesticides (SMI8/6630)' ■1 pH • _UCMRCist\ RADIOCHEMICAL ANALYSIS _MtBE Only (524) ! __ Radon __ Other_______ 1______________ X--?. (O' INORGANIC ANALYSIS REQUESTED - Lab#: 3277: ■ >•

__ Color , . __ Acidity , Aluminum , ■■ _L Potassium. __ Turbidity __ Alkalinity. j^Antirhony __ Selenium _ pH __ Bromide _ ; Arsenic ■ ./A’'••7 .-Silver __ . Conductivity __ Bromate/Chlorate/Chlorite ■ / ^Barium 2_ Sodium __ Corrosivity (temp:°C) ■ __ Chloride __-Beryllium ) .- J*, _= Thallium _ BOD (5 day) __ Cyanide __ Boron _ Vanadium' - Carbonaceous BOD (5 day) . :_ Flupride’ _^Xadmium ' , kinc _.SolubleBOD (5 day) __ Hardness, Total as CaCOa __ Calcium, as CaCOa^ __ Chemical Oxygen Demand __ Nitrogen,-Ammonia as N __ Calcium, Ca*2; - -y„' ■ . CLE' _ Dissolved Oxygen Nitrogen, Nitrate as N __ Metals/CN., , • _L.Chromium, Total^ ' Volatiles! !■

_2 Total Organic Carbon __ Nitrogen; Nitrite as N __ Chromium, Hexavalent -. J_ Semi-violatiles '> •jI, Total,Organic Halides _ Nitrogen,;Total.Kjeldahl as NI _,Cobalt .'‘7 Jl.Resticid^s/PCfe;s "__ . Sojids, Percent (%) . / __ .Oil and G'reasd " " : _.Copper , , ' ■__ , Solids, Settleable _ Phenol ' ' -Iron A. x: Sojids, Suspended __ RKo'sphorus.’Totai as R- _xLead ; -■ IfikE? __ Solids,’Total J ' _ Phosphorus, Orthoas'P., Magnesium '‘A",. "A. _,Te.LR-Metals I j^JiPi|?fe?tiiM.de8. Solids, Jotal Dissolved ’ _ Sulfates) ' S:'Mangariese> " •/" , :2=.tCLP-He'i:6icides; _,Sdlids;. Total Volatile, ,• _ Surfactants, I ^txOthef:______ < *_,-i:eLR-VblatileS' J TCLP-BNA’s; _'Nickel di NYC-WTC_000073456