Chain of Custody Record, Westchester County Lab, Mar 2002

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVlCESSAMPLESUBMISSld^ ^RM WESTCHESTiER COUNTY LABORATORIES ANO RESEARCH 4com 2 Dana Road, Valhalla, N^>^;i059fe ''Y (914)^31-1620 Fax (914) 231-1772 NYS-ELAP No. 10108 ^-Time/Date Set; Form A-70 (rev.10/01f;^

to (circle one);

s ^VF^ble -»2^nPo ible Tlme/Date Colle«^d: 3. Non Potable Treated 4. Other -**3' ■• O _ . 'Bottle 'Chain-of.Custody?'iA wi—. No.

Comments: i

I Agency Code: _____ . PWS#;:_____ _ .Type Descriptor _X ft; ; .CteJIected By: Collected From: __ Source ID: 'I Bill to: Locatlon’s/lndividual's Name Name/Company Street______ _ 3$ |City/St/Zb?-''"\.'^4f. H A LL /V M/ / j? . City/St/Zip__ Identification of Source, Phone#: Fax#: ^<^lec8^ Point pi I c/^ch/bi? . __ Checlc#:.■•■■.______ Amount$______' .... X ■ ■■,■:

ft BACTERIOLOGICAL ANALYSIS tab#; .4 Lab#:' _______ ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS _ft Heterotrophlc Plate Count ? ? (h^^is & all others) __ Trihalomethanes (524) __ Purgeable Halocarbons (624/8260) _Coltform P/A (Public supplies) ^Volatile Halocarbons (524) __ Purgeable Aromatics (624/8280) > ^^latlle Aromatics (524) _ Acrolein & Acrylonitrile (8260) MPN (priv well, raw, stp) _ Fecal Coliform (all samples) __ Microscopic _ Macroscopic _ Total Trihalomethane Potential (510) __ Mioroextractables (504) __ Pesticldes/PCB screen (508) _ Oigandchlorine Pesticides (608/8081) < __ PCB'S (Aroch!ors)(608/8081) _ Herbicides (SM18/6630,8151) I __ PCB as Decachlorobiphenyl (508A) _ Other Pesticides (SM18/6630) „0th8r_________________ _ Herbicides (515) ___ Petroleum Hydrocarbon Scan (310-13) „ Pesticides (525) _ Glycols In Water'S;;-.'. . __ Carbamate Pesticides (531) ■■«

: L. yea no _AcidExtractables(625/8270) •Chi6rini^d:?<___ yes __ no _ Glyphosate (547) __ Base Neutral Extractables (825/8270); _ Diquat (549) :&^C/MS Unknow Scan’ : < Fr^Chloririe Res:______ _ mg/L __ Chlorination Disinfection Byproducts (551) _ PhOtalates (606MS) Total Chlorine Res: _____ mg/L _HaloacetlcAcids (552) _ Other i ■ Bft—--ft- ;HEMICAL ANALYSIS __ Other Pesticides (SM18/6630) „UCMRList1 _MtBE Only (524) I MF- 3 ftNpRGANIC ANALYSIS REQUESTED - Lab#: _ Acidity Li Alkalinity: ■ < ■Q Aluminum Antimony': ;' : L-iPotasstom- ^^sianium-.."-'';',.''' 1 __ Bromide SArsenic ■■ ■,. ■L,Silver-- ■jf

s ^^OSutemp:__?C) _ Bromate/Chiorate/Chlorite X Barium ^^odtum' .3 __ Chloride '^^eryllium . ..Thallium __ Cyanide __Boton/ ^Vanadium sWObil^butedus BOD (5 day) _ Fluoride, ;:s*Cadmium (5 day) _ Hardness, Total as CaCOa __ Calcium, as CaCOa rilcal Oxygen Demand _ Nltrx>gen, Ammonia as N _ Calcium, Ca« ft' DlssolvedOxygen __ Nitf^en, Nitrate as N ^Chromium, Total B- TotalOrganIc Carbon __ Nitrogen, Nitrite as N __ Chromium, Hexavalent ? LLVblafiles ■ ^

8 Total Organic Halides SoikteR^nt (%) _ Nitmgeh, Total iqeldahl as N _ Oil and Grease OCobalt popper „Seml-violatiles L-Pesflddes/PCB’s 1 OSfSSa __ Phenol _ Phosphorus Total as P __ Phosphorus, Ortho as P LLiron XLead . ?' __ Magnesium __TCLP-MBtal8?- fl! __TCLP-Pestlcldes __ Sulfates X, Manganese __ Surfactants X Mercury _TCLP-Herblcide8 r ft __ UV254 XMrWenum _^TCLP-Vbiltlle8' ■■ft'a’ . ... . 3 SOBS NYC-WTC_000074855