Chain of custody record for DEP samples, February 2002

NYC 9/11 Public Portal Document

environ MENTAL SERVICES SUBMISSION FORM ‘^OB^WOOm WESTCHESTER COUNTY LABORATORIES ANO RESEARCH (914)231-1620 Fax (914) 231-1772 // U ■p,/ ■‘^'■■■/' ■■ /.--..//;< '/ ' nys-elapno, loioe Tlme/pateSet:•-IGMO jGMg ■ / ' FormA.70(rev:10/0i) J •X-

potable/■• /' 3. Non Potable Treafed ■ Bottle #’s; 6-liSZ^jUt U - S<npy | £ 2.NonPotable . 4.OtherP_______.__£,-X--_--_‘^'-C&hofCu8tody?"P/p/'^^^ //'Tlrr^e(Da^^Collected:__^^iO__^r>^2Ol_2iB,"P-C^^ Z;//'"' ■"•■■/1

Collected By:,,JtlW^^5£r3_^en^Cbder__Z_H-IHp//I^S^ft Source ID:Type Descriptor: Collected From: ' ’ Bill to: ,■ Location's/lndivlduars Natne /"' - N'V C ’■ p - Name/Company ■ straflt;''' . Street_________ '"pi^^^p Va^ViaUa / city/Stfzip Identification of Source _ ______________________________ Phone#: _______________ _____ _Fax#: . ..: . , vl B- ^On^nt-^^ fe Check#;

BACTERIOLOGICAL ANALYSIS Lab#: '•1 ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLIDANALYSISj Plate Count t- _ Heterotrophic (hemodialysis & all otters) _Trlhalomethane8 (524) _ Purgeeble Halocarbon^' (624/8260) * w ;;p. Coliform P/A (Public supplies) _ Coliform MPN (prfv well, raw. stp) 4^olatile Halocarbons (524) _4>^latile Aromatics (524) _ Purgeable Arorhat!cs (624/8260)^^^ iP _ Acrolein & Acrylonitrile (8260) . Organpch^ne - ' . J | Fecal Coliform (all samples) _ Total Trihalomethane Potential (510) Microscopic __ Mlcroextractables (504) _ PCB’s (Arochlors) (608/8081) - • ’ _ Macroscopic __ Pesticides/PCB screen (508) __ PCS as Decachlorobiphenyl (508A) _ otherPeSHoWaa/CSMIS^S^K^/XXSsS ^API I ' L CWtor: _ Herbicides (515) __ Pesticides (525) _ -Petroleum'Hydrocarbon Scan (310-13) • 4, ^4 __ Glycols in Water .4 Refrigerated?__ _yes__no _ Carbamate Pesticides (531) JL Add Extractables (625/8270) < /j _ Glyphosate (547) _ Baso Neutral Extractables (625/8270) , /S Chlorinated:? __ yes___ no -S -a ■'S' _ Diquat (549) ig?*GCyMS Unknown Scan ' *" "" I Free Chlorine Res:_______ mg/L Total Chlorine Res:mg/L Chlorination Disinfection Byproducts (551) _Haloacetic Acids (552) _ Phthalates (606MS) __ .Otherpp_-^__L2LuXp/2. _ Other Pesticides (SM18/6630) ''pK____ _UCMRU8t1 ; RADIOCHEMICAL ANALYSIS _MtBE Only (524) /•/■ _k.Radon"; Other. I S’ 1 INORGANIC ANALYSIS REQUESTED - Lab#:

feI _ /Color Turbidity _ Acidity __ Alkalinity Bromide 'uminum ntimony I Conductivity __ Bromate/Chlorata/Chlorite Ji^ariurn Jte^^Hium _ CorrQsivity (temp: ?C) _ Chloride j!^efyllium _ BOD (5 day): ^Cyanide _ Carbonaceous BOD (5 day) _ .Fluoride i^Cqdinlum /_;/Solubie BOD (5day) K’ Chemical Oxygen Demand _ Hardness, Tbtal as CaCOa __Nltrogon, Ammoniaas N Calcium, as CapCta/ Y ^ Jaldutn, Ca'« > " / , / I _Dissolved Oxygen _ Nitrogen, Nitrate as N ihromlum. Total;./ Total Organic Carbon , __ Nitrogen, Nitrite as N premium. Hexavalent _ Total Organic HalWes ^ Solids; Percent (%) Solids, Settleable Sdlds, Suspended , „ Nitrogen, Total Kjeldahl as N __ Oil and Grease _ Phenol __ Phosphorus Total as P tclp I .^ Solids, Total : < __ Phosphorus, Ortho as P _jn88lum , _TCLP-Pestlcldes> - _ SoIlds, Total Dissolved / __ Sulfates langanese _TCLP-Herblcldes __^olld8, TotaLVolatile __ Surfactants ircury Another ■ ■ . ■■ __ MV254 Hpkel

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