NYC 9/11 Public Portal Document
1
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5'«:5Tim^ate''S^;' J5^ Form A.7O(r0V.10/01)--,.
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.fl^Otabl^-'■ 1 Non.Potable Treated
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yOonRP^Ie ’y; ■ 4.0ther4:__^_,___^ _ ChalnafCu^_VBS^No
f Time/DateCollect^:. Comment«;.S_j _______ c________L
I Y'ColIect^'By:. R ■4''Adency''Code: 4 _ PWS#:2-.2,.L-4-SoumajD:_
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Locatlon's/individual's Name z__idRHL2_^iL£. _ "'' Naine/Corhp^Y^ilYR4!^^.S^Y^ l1JSSS I
I ' Street
CIty/StZZip
“ITT- —7-
iYRM'^City/stzzip _ ________ Yklil
I Identification of Source
TDoiiabflon Point
_•'?/Phone#:!
|:'CA'cH.BI?.:^Y:1<:5 Chdcl^:,
■ax#:L*c—
____' Amounts/ ' . -J
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J__R^_<__iYi£i£YLYiiLlY_YYYY^
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BACTERIOLOGICAL ANALYSIS
S' „ Heterotrophic Plate Count
Lab#.-
ORGANIC POTABLE ANALYSIS
* -RYW/'RY/'/ Ysssawa/Y
(hemcxIiaWs & all others) __Trihalomethanes (524}
:. .44.
^f9S^hle;Halodarb^R(^!^A)?/YgYYY
Purgeable AromaW.?^82^/W>B»Y/YY/
;a
__ Coliform P/A (Public supplies) .Volatile Halocarbons (524)
<4; GolifOrtn MPN (priv well, raw, stp) .Volatile Aromatics (524) ■ /'Acroiel^:&.AcrytonithlftR^O|^fe^
s
'‘:Y' Fecal Coliform (all samples)
_Mlcroscopic
44 Macrdscopic
_ Total Trihalomethane Potential (510)
__ Microextractables (504)
_ Pesticldes/PCB screen (508)
_;. Organochlorine Pesticides (808/8081)
; -pcbV^io,,) Ii
I 44' API
i4i,0|fwSi _ __________ __
__ PCB as Decachlorobiphenyl (508A)
_ Herbicides (515)
_ Pesticides (525)
_ other Pesticides (SM18/6630) : -
__ Petroleum Hydrocarbon Scan (310-13)
/ , .'JY Glycols in Water ; '''. YRRRyYYYY,
s
1
S Refrigerated? yes
Chlorinated:? __ yes no
no _ Carbamate Pesticides (531)
__ Glyphosate (547)
■^RACW;Eidractebl^'
_ Base Neutral Extractebles (025/827O)
I T^e t^iorlne Res: mo/L
_DlquatR(549)
_Chiorination Disinfection Byproducts (551)
■ _u-GC/MSUnknown S<tart;Y/Y;RsjeRYiiyYRR;.R/’: ■
_ •;PhthifelSbR(«06M8);;5Y5?^^^ I
R :tp^l Chlorine Res: _____ mg/L _ Haloacetic Acids (552)
_Other Pesticides (SM18/6630)
■'. _ ■:OtheO-4-4!4E40!SiOM-BR 4
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RADIOCHEMICAL ANALYSIS
YjYRadbn";
_UCMRUst1
_MtBE Only (524) , , SY. '\
Y’Y lY r‘
I
I
-Other __________
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^^O^NIC ANALYSIS REQUESTED - Lab#: RrrRS!y??^'?S'i!!YY!''
I'^'-Oolor/" _ Acidity _ Potassium
/:'□£/T^ldityY RY ' •/: _ Alkalinity .isAhtirnbny
^rph^^CyY Ry-. _ Bromide ■ ' .•-if^enic V ^Iver
__iConductivlty _ Bromate/Chlorate/Chlorite _Sodlum
'jV-
Conroslvity (^mp :____'’€) _Ch!drlde \ii'Beryilium _g<h0inum , '
I _BOD{5day) Cyanide
__ Carbonaceous BOD (5 day} "4^'Flijbride '/Ji^dmlurT) V •J<^lnc
■’I
I
WSoiuble BOD (5 day) 'J__Hardness, Total as CaCOa „Calcium, as CaCOa
Y± Chemical Oxygen Demand _ Nitrogen, Ammonia as N _'CaIcium, Ca^;.,'..
44 Dissolved Oj^eri R
;y _-Total Organic Carbon
Nitrogen.Nitrate as N VJi,/^3»^rri^urri,^Q^ ;
I
.__Nltrogen.Nitrite as N Hexavalent '
YYRYnatalROrganlc Halides Nitrogen. Total Kjeldahl as N /jifeewt-; '.'L'
Y4R SoIids. Percent (%) _Pesticides/PCB’s
Oil and Grease
I
’V "v ? ■.' •'•JR
_ Solids, Settleabie Yisl*(?on. '■■
■!<
_ Phosphorus Total as P fj^tead '<••>? ^ftcLP-Mettta .
__Phosphorus, Orthoas P
Y4r Solids, Total Dissolved R
Sdiirfe, Total Volatile , « > ^'Surfactants:,. ;'
ji^anganese
■. _.£iWer<aury Y z^SMS: ’ w
;_^‘:Othen:i-£.LLiL-L_^_J^ Mitolvixienum
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NYC-WTC_000074295
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