Chain of Custody Record, Westchester County Lab, Mar 2002

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMISSIO^TCBi WESTCHESTER COUNTY LABORATORIES ANO RESEARCH ■ "'2Dana Wrk'-'t^^r 5 (914)231-1620 Fax(914)231-1772 ' ' I iW;

to '</;Fonn'A-tO I (drbleohe):, Q- ? ’ (potable 3. Non Potable Treated Bottle#’s: <?** yo . I ?,' 2. Non Potable 4. Other a __________ Chain of Custody?___ Yes ,2.^No , , ft I ATime/bateCollected: ' Collected By: h. Agency Code: _____ PWS #: ft__________ Source lD:_______ Type Descriptor:_____ ■I _SounC8;tP:, (^lectedFrom: ' ■ ,''ftftBIirb?:'"" •■■- ••/- •• ■ .... is .. Lbdation’sijiid^lduafsNameft -HMH,^ 'ft '■ Name/Cornpariy street 4 Mfeft Wliimv maiVirftft^jM ; teSAs _ City/St/Zip _ <1,

> f? ftt^tiflcatlon of Source^ ft ' _* Phone#: _ ^liectibn Point CXo — S-i— ^1 CA,CH. Bl? :.. Check#:Amounts,... B .^■5 '■ ft 4 ANALYSIS Lab#:

I ^Swdtrophlc Plate Count ft:A^emodialysis a all others) ----- ORGANIC POTABLE ANALYSIS __ Trjhalomethanes (524) W^latile Halocarbons (524) ’ ORGANIC NONPOTABLE/SOLID ANALYSIS . _ Purgeable Halocarbons '(624/8260), ’ ift®.g6llfbrm P/A (Public supplies) ^gji^TOnn MPN (privwell, raw, stp) lij^latiie Aromatics (524) _ AoraMha Acrylonitrile (8260) (all samples)' ’ __ Total Trihalomethane Potential (510) > ul Orgahdchforine Pesticldes (608/8081) ••/lA ft Spcroscopic _ MIcroextractables (504) _ Pestlcides/PCB screen (508) PCB’s'(AroGhlors) (608/8081) /;/ ft p'ft _ HerblcWes (SM18/663O,8161) 1

■ I _ PCB as Decachlorobiphenyl (508A) _ Herbicides (515) _PetrolBum HydrocarbonScan X31br13)ft - _ Pesticides (525) Glycols iri Water ' - Related?___ yes;^ no _ Carbamate Pestfc!des(631) _ Acld Extractables (625/8270) • ^^cl:?'____ yes _ no ^■Chlorine Rds;. StatChlorine Res: mg/L mg/L i _ Glyphosate (547) * _Dlquat (548) a-Y. ^. Bpse NsutralExtractableS (625/8270) S , ft_ __ _ i=?*GC/MSUnknown __ Chlorination Disinfection Byproducts; (551) ; _ Phthalates (608MS) _Hal6at»tlcAdd8'(SS2) '‘ ft=''.'?ft'"__; OerlSSMi^^ ______ ^nft/' a V^ft-. ■; s K'" MICAL ANALYSIS _ Other Pesticides (SM18/6630) _UCMRList1 _MtBE Only (524) i Wd^S.REQUESTED ■ Lab#:'■ A. /'ftAftft I Color ^SMftZ-'/'ft/ftftAA. ftft'--ft''Y iSsftliHb __ Acidity --..AJkalW. ' __ Bromide ft isi^uminum

.4eri^nlc tassium I'I

gSSS&ff ’SS,***’ _4_t^lorideA ^ Cyar^; _ Fluoride _Hardness.TotalasCaCO3 ‘ Jsfeiymura, __Bpron < _w?<Jadmlum _< *'Octo, aS CaCOs, /ft’S; I 2;'Chemical Oxygen Demand _Nlfrogen,Ammonia as N _ Calcium,'Ca*2 .;• ESia ^etals/CN

J SjTMal O^^ Halides f P^rit:. (%) ‘ ' __ Nltrogeri, Nitrate as N __ Nitrogen, Nitrite as N _ Nitrogen. Total Kjeldahl as N __ Oil and Grease ft; ,,. _i?CFiromlum, Total; Y ft';■,-ft;;. '__Chromlum.Hexavalent ft ft, 'iftftftYbMBas-ft YAft Aft'ftT ft__ Seml-vioiatiles ; ft' ft-?; _PesticideS/PCB'8 <1 Waeabis;?':. A. 1 . il@/Sbltds, Suspended Phosphorus Total as P • uftiftft/Bolids,T^ -A. __TCLP-Motal8 ’ ' Phosphorus, Ortho as P _wgnesium a ;T;^ft$l^d8,Tbtal Dissolved ft.. _Sulfates ^ifanganese AftiM^4?w«cbeaY;ftftft

wtes^sfts '||Aft;ft C-A^ __Surfactants ,_UV254 Jdfewry. ^TCLP-Herblcides ■’I

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