Chain of Custody Record, Westchester County Lab, Mar 2002

NYC 9/11 Public Portal Document

' ENVIRONMENTAL fegAAfagfe^u <com WESTCHESTER COUNTY LABORATORIES AND RESEARCH

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Time/Date Set:

(circle one): * ^pl 3. Non Potable Treated I <2. Non Potable 4.. Other _________ Time/Date Colle^ed: _ Comments;

I ; ;Colle^ By; Agency Code: _____ . PWS#:___^_ Source ID: J. .Type De^pton _ Collected Prom: .t , t .Y,,,Brtll to:?.-- _ . Name/Company . Street ii _ Clty/St/Zip ,/\ kfeM^oniof. ^rbe Y_______ _____________ _ Phone#:_ ____ E_ ; ■ Coiii^feh jF^;>yY»--'|^ip.V.t I; \ I CA,CH, Bi? - ChbddfcAmounts,

BACTEFtlOLpGICAL ANALYSIS Lab#:________________________ I I Lab#: x_____________ __ __ Heterotophic Plate Count ? . (hemodialysis & all others) ORGANIC POTABLE ANALYSIS __ Trlhalomethanes (524) y Volatile Halocarbons (524) ORGANIC NONPOTABLE/SOLID ANALYSIS ' __ Purgeable Halocarbons (624/8260) _ Purgeable Aromatics (624/8260) Y II w X. Coliform P/A (Public supplies) __ C6llforrn,.lwPN (prlv well, raw, stp) _ Fecal Coliform (all samples) ^VolatileAromatics (524) __ Total Trihalomethane Potential (510) _ Acrolein & AciylOTftrlle (8260) Yi _ Oiganochtorlne pesticides; (608/8081) ; s "El Microscopic . |i^‘-_Macr^plc _ Mlcrc«xtfactabl®504) __ Pesticides/PCB^en (508) _ PCB’s (Arochlors) (808/8081) __ Hetblcid^ (SM18/663O,8151) U ^YY ; , s _ other:.----------------- -------- -- _PCBas Decach^blphenyl (508A) __ Herbicides (516) . __ Other P^d^ (SM18/6630^ Y; :i __ Petroleum Hydrocarbon Scan (310-13) I ■<

__ Pesticides (525) Glycols In Weter Y Y ^.? Y ;r ReWgeiited?—.yes—no __ ^Carbamate Pesticides (531) __ Glyphosate (547) _ Acld Extractables (625/8270) ^Base Neut^ Extractables (625/8270) . 1 .»» Y _ Diquat (549) Xgc/MS Unknown ^n ■..... FreeChlorine Res:____ mg/L __ Chlorination Disinfection Byproducts (551) _ Phthalates (606MS) TbtalchiprineRes: mg/L _ Haioacetic Acids (552) _• OtherEEYE_.E_zu-,._EL^^ -

Y ^radiochemical ISS. ANALYSIS __ Other Pesticides (SMI 8/8630) ^UCMRListl __MtBE Only (524) - I y Y OtherOYfe^y • * I I pNOR(^l^iC ANAlYSIS REQUESTED - Lab#: _ ^Aluminum '^L,Y_"PotOum-C'' • i 11 I '/Li'iurbiW? »Y . , ’’ V _ Alkalinity _ .Bromide Y XSetenlumY 'i I ..X ^CdndO^^YlY^^liip - Y ■ _ Bromate/Chlorate/Chlorite __ Corrosivity (temp:____®C) I __ Chloride * Arsenic A Barium A Beryllium __Silver, Y ■^SodMtnl;' A_EThalBurn: 'i Z StSonaSus BOD (5 day) __ Cyanide _,Boron . __nuorlde ^Cadmium fes. __ Soluble BOD (5 day) . '’sY feEY Hardness, Total as CaCOs __ Caldum, as CaCOa YY /; clp^.^y/y' ■ - 'Y ■ _Y Ghemipal Oxygen Demand __Nitrogen,Ammonia as N • Caiaum,Ca^ " __;pis^^ Oxygen XChromtum, Total __TotaiOrganlc Carbon _„ Volatiles : E-Serhf-VIblatiles I ELEW^ipra^nlc Halides

I pESoti^Lf^rbent (%) ;Bbllds.Sdttleable SE ..Solids, Suspended _ Phenol; __ Phosphorus’Total as P i •

XLe^d ., . /ysl'y'’" _ Pesticldes/PCB’s tclpY, ■ E-TCLlMdetafe;// ■• Ii iI _ Phosphorus, Ortho as P _ Magn^lum __TCLP-Pesticldes _ Sulfetes y J /Manganese __TCLP-Herbicides

si OSYIYY5Y __ Surfactants IJY254 ^SSteTum , _TCLP-Volati1e8

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