Chain of Custody Record, Westchester County Lab, Feb 2002

NYC 9/11 Public Portal Document

1 B. I (914)231-1620 Fax (914) 231-1772 7 - - , . ’ ^ELAPNo.101;^8;^3g . Time/Date Set: Y^^^^^orm A-70 (rev. 10/01)

Sai »e (circle one); , Y; s *as ?1. 3. Non Potable Treated 2,fsionPotabte " 4'Other . y _ Chain of Custody? __ Yes No/Y ' ' . ;’ Y’YXY/^Xj^

j,Tlme/Date _ Comments:___________ Y— IColjectield .'-'Agency Code: _______ PWS #: Bill toi Source ID:. ' _Yrype'De^pton;O3, ■Y'y'y-Y/y#! I /Ldcaflon'Wlf^ivIdual'sName .. _ Name/Comoanv _ ^eet_XY_GJxW---2SB^ Z~ZM|i-215 ff X. 'Xcity/stgip _ :,Ctty«t/2lpXXX;M|--S$te- ■««

/TdflntlflcaflQnofSouix» , , ______ _________ _ ■'Thone#:';,^_Xo&SSBBY‘Fax#rX^ Collection Ppint _____________ _ pCA,CH. Bl? _ Amount$___;_ 1 r >1

I BACTERIOLOGICAL ANALYSIS ‘taWfe_X->____^—-—. M'. Lab#: _________ _ ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS .T r X,; Heterotrophic Plate Count 15 Y (hemodialysis & all others) _X Coliform P/A (Public supplies) _Trihalomethanes (524) ilatlle Halocarbons (524) " _ Purgeable Aromatlcs (824/826b) ; </ i i Xfc Conform MPN (prlv well, raw. stp) Jfvolilatlle Aromatics (524) _ Total Trihalomethane Potential (510)

I YXF^cai Coliform (all Samples) X_ Microscopic __ Mlcroextractables (504) _ PCB’s (Arochlors) (608/8081)' I _ Macroscopic X API J I Refrigerated? „Other. _ _____________ ___ _ Pesticides/PCB screen (508) _ PCB as Decachlorobiphenyl (508A) _ Herbicides (515) _ Pesticides (525) _ Herbicides (SMI 8/6630,8151) _ Othdr Pesticides ($M18/6630) . .X :PetrolBm Hydrocarbon S<^^lb-13);iYY _ Glycols In Water ' .- . ' , . a I yes no __ Carbamate Pesticides (531) _ Acid Extractables (625/8270) Chlorinated:? yes ho ^Glyphosate (547) ' __Diquat (549) BaseMutral Exftacteb^/^5/8^djY ■ ;_i>GCiMi8WnB»iw.Scagi?^ •s I Chlorine Ftes;_____ __ mg/L __ Chlorination Disinfection Byproducts (551) . _ Phthsilates (606MS) i ; Y Ji A: :: a Tbtai Chlorine Res: mo/L _Hafoacetic Acids (552) Other:_______ _ Other Pesticides (SM18/6630) I Y RADIOCHEMICAL ANALYSIS _UCMRLlst1 _MtBE Only (524) / O! ■"'I XXRattonYYX fc X .Other ___________ ■5^ illSl "I i INORGANIC ANALYSIS REQUESTED - Lab#: __ Color Aridity ' ^^uminum .: ■ ?/ _ Potassium ^g^jTu^idity';'/. # iXXPHivYXY. YY; YXi’GoiWudtivlty _ Alkalinity ^Bromide _•«. # t : __ Bromate/Chlgrate/Chlorite _ ChlorIde . ' _i<-Antimony .^.^(^ysenic J-fSarium _L^8ryllium , ,i k __ Sodium '. I Corrosivity (tamp;_----- °C) 'X^ailluiTT-iYBKYxtYY ■-

V-

fe-' BOD(5day) Y- Carbonaceous BOD (5 day) ^_.Cyanide ' • ^■fTuoride , . \_1.Boron > .^-^C^dmium .'..Y; Y _ Vanadium -~^®__XX__ . ■ l2_ '< a Soluble bod; (5 day) __ Hardness, Total aS CaCOs i ■ Calcium, as CSCOa < Y Xx Clwmipai Oxygen Demand HTB _ Nitrogen, Ammonia as N • Yj Calcium, Ca«

3 Dissolved Oxygen _ Nltrogen. Nitrate as N X^eRmtum, Total _ Total Organic Carbon _Volaflte8. ; ' , _ Nitrogen, Nitrite as N _ Chromium, Hexavalent V’-' Total Organic Halides _ Nitrogen, Total iqeldahl as N _^balf SolidSr Per^ _ Oll'and Grease / __aCbpper / ' Solids, Settleable ,X-'Pheno* . 4*1^ Y Solids, Suspended _ Phosphorus Tbtal as P __z£oad 8 ; Solids. Tiotai - Solids, Tatar Dissolved _ Phosphorus, Ortho as P _ Sulfates _ Surfactants _UV254- , Y_ Magnesium ;.; Y X^tCfer^garieseY-; .^(fMercury . Y^^ilybdenum _TCLP-Herbicides _TCLP-VotaUles _TCLP-BNAs Y s .XYWWYliYii

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