Chain of Custody Record, Westchester County Lab, Mar 2002

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICeS^PLE sdBRliiisO^oO t WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 231-1620 Fax (914) 231-1772 .a- ^5 NYS-ELAP No, 10108 I; Tlme/Date Set: J Forrn A-^70 (iw.iO/01) i -p— i' Bi rfc Sample Type (drde one):

2. Non Potable 3. Non Potable Treated 4. Other Bottlers: .Z_i_ Chaln of Custody? Yes No f. -

' X

Time/Date Collected:./ > /.J .. Comments: Collected By: Agency Code:;______ PWS#;_____ _ . Source ID: Type Descriptor Collected From: Bill to: Location's/lndlvldual’s Name ; ,7 Name/Company ftS^-.___________ Street 6/ Cfty/St/Zlp________ ___ City/StfZip__ ;• ■. . r' !• - ■; s

identification of Source ______ Phone#: _____ Collection Point __________ [ CA,CH, Bl?

BACTERIOLOGICAL ANALYSIS Lab#:. 1 Lab#:________________ OROANICNONPOTABLBSOUO ANALYSIS ORGANIC POTABLE ANALYSIS _Trlhalom8thanes(524) (hamodiatysis & all others) K /g-CtWtoMPN WCdWi P/A’(Public supplies) __ Volatile Halocartxjns (524) - SS&»«AS3SM?«nw" S I (privwdl. taw,dp) 2_ Fecai Coliform (all samples) __ Volatile Aromaflcs (524) __ Total Trihalomethane Potential (510)

I T^Micrpscopic

__APl __Microexlractabies(504) __Pestlcldes/PCB screen (508) _ PCB as Decadiioroblphenyl (508A) X_ Herbicides (515) _ Pesticides (625)

I _^ye8 __^no Chlorinated:?___ yes ___ no __Carbarnate Pestlcld8s (531) _-Glyph03ate (547)

I' lUrCWi^'Ros: Free Chlorine Res: mrVL mg/L .;_DlqudtW __Chiorinafion Disinfection Byproducts (551) ^HaloaceBc Adds (552) —. Other:. . <_ Other Pesticides (SM18/6630) K- ^UCMRLIstl ‘<fSUiwHBM^'ANAI^^ „MtSE Only (524) • ■ __Radon

__Color > __ Ack^ ^Aluminum __Turbldity

__ Conductivity . _L; ABt^flnlty __ Bromide _ Bromate/Chlorate/Chlortte Antimony j^AradWc , 2 Barium -Y g»wb : i^oSSwtljr 1

/^ Corrosivity (temp sWB0D(5m; —“C)

O Carbonaceous BOD (5 da^ W " .3^ _ Cadmium ‘ i' ■ •

8<,SQlubl<^,(S dayX' ' _ Hai^dness, Total as CaCOa __Caldum, asCaCOa s _ChemtcatOxygen Demand __ Nitrogen, Ammonia as N _Catcjum.Ca« r 1 __ Nifrcgen, Nitrate as N X Chromium. Total , _ Nitrogen. NItriteasN Chromium. Hexavalent _ Totat Organic Halides __ Nitrogen,TotalFqeldaWasN Solids, Percent (%) _Oit and Grease ^.Copper _SoiIds,Settleabl8 ^Pf»er»l _Iron ) _ Solids, St»pended _ Phosphorus Total aeP _:L8ad -ICLE.- „TCLP-Metals ^Solids, Total Phosphorus, Ortho as P _ Magnesium __TCLP-Pesticki8S __ Solids, -fistai Dissolved Suited _:.Mangan^ _TCLP-Herbicides Y. Solids,TbtalAZbIatlle __ Surfactants . - __ Mercury _TCLP-Vo!atil8S 2^'0therr_^^ _ LIV254 _:;Mdyb(f8rttan _tclp-bna:s Nickel 'u».’

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