Chain of Custody Record, Westchester County Lab, Feb 2002

NYC 9/11 Public Portal Document

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I Time/Date Set:

I ZNonPoaMe 4.0tt»r^------------ 14--------------- CW of Custody? _V4._Nq

I S'- Tlme/DateCollected; ACollected'By:'/^.. Collected From: ^4^ Agency Code: _____ Comments:_ __________________ 1 PWS #: _ _________ Source ID: Bill to: ’ ,'7; vj F- Location's/lndlviduars Name - HMCt; ■ . - '• Natne/Cor^riy-Y^W/J, ; , / t ■'city/Stfzip-' .MS ' E^Xl 'City/st/zip'_lJolfe|SwW,KY^^^ " street_____ZZ_|______Z___Z__4Z~Z_ZZ; I I 'i'l^ntoonofSouree_Wr_____WS<_B^ I, ra!^cH7Bi?ZZSSSS»S<iZ31Si^^^^^S i I BACTERIOLOGICALANALYSIS Lab#: __________

II ■^(WW£_J±.LW_ Heterofrophic Plate Count ,j. (hemodialy^s & all others) KiSCollform P/A (Public supplies) _ Coliform MPN (priv well, raw, stp) ORGANIC POTABLE ANALYSIS _Trihalomethanes (524) Jrfri^tile Halocarbons (524) /^f<^latileAromatics (524) ''wmBMms ^9 _ Fecal Coliform (all samples) _ Total Trihalomethane Potential {510) __ Mlcroextractables (504) jj Microscopic Macroscopic _ Pesticldes/PCB screen (508) __ PCB as Decachlorobiphenyl (508A) _ Other pestlcldes (SM1|(SM0);/3S»|* I sM. „O^er ' ., ■ _ Herbicides (515) Y _ Petroleum Hydrocarbon Seen {31(^J3^

Refrigerated?.____yes no ^■Pesticides ,(525)'*^..,•: ■■._'^A&^ctea^s;^2^i«fi^|| i __ Carbamate Pesticides (531) fe-' Chlorinated:? __ yes no __ Glyphosate (547) _ Base Neutral Extractables ,(625/8270) ‘ 1 If Free Chlorine Res:______ _ mg/L TotalChlorine Res: _____ mg/L _ Diquat (549) __ Chlorination Disinfection Byproducts (551) _Haloacetic Acids (552) ■ X-QC/MS,unknown Scan - 'A

_ otherj____________ ' ' • <■ i

•■ ' LJ jo=zzzzz^.. _ Other Pesticides (SM18/6630) wo _UCMRList1 RADIOCHEMICAL ANALYSIS _MtBE Only (524) s _^LRad6nY'-- Other ■' rJKd'jC^SiEiaB a ■ ‘ t ; iW

r w. INORGANIC ANALYSIS REQUESTED . Lab#: ;0\.Color _ Addlty j^umlnum __ P^ssium a !?i TUrbidlty ;

_Conductivity __ Corroslvity (temp:___l‘’C) _ Alkalinity _Br<jmide Bromate/Chlorate/Chlortte _ Chloride , _^iAntimony _i^senlc ' ■ '/i^sb^Hurn ;■ _Xlferyllium / _4««^nlum i _ BOD(5day) / Cyanide'' - _ Boron Y.- CarbOnapeous BOD (5 day) __ Soluble BOD {5 day) _ Chemical Oxygen Demand ;\2- Dlssplvai OJ^eji' J __ Flupride Hardn^, Total as CaCOa Nitrogen, Ammonia as N __ Nltrog0n, Nitrate as N _^j.^dmiym __ Calcium, as CaCOa __ calcium. Ga*’ / , *.3^florNum, Total t. > CLP 'V,-,'. i; , ..... I _ Total Organic Carbon Y __ Nitrogen. Nitrite as N __ Chromium, Hexavalent ' KJ ibtai Organic Halides ' _ Nitrogen, Total Kjeldahl as Nl.'-.^^^alt K_i S^ds. Percent (%) _Sollds, Settleable K Solids, Suspended _-Solids,Totat _diand Grease ;, _ Phenol __ Phosphorus Total as P __ Phosphorus, Ortho as P 1 Solids, Tbtal Dtored ■_ Suifates''-<. _Solids, Total \^iatlle Surfactants a _ UV^54 a NYC-WTC_000074317