Chain of custody record, Westchester County Department of Labs &

NYC 9/11 Public Portal Document

.77 E- ,7'..7 ' y-E ' ^-'/YEE-,.’ .EE; '■„. E'^ E 7EW«.^^r Wi-^SE ENVIRONMBMTAt SERVICES SAMPLE SUBMISSION FORM 3 westcheStIK county laboratories and RESi^CH 7^ ‘ 2 Dana Road, Valhalla, NeiwYbrk 105^ E' (914) 231-1620 Fax (914) 231-1772 ' NYS-ELXp'’No..:lia^ i -(oWeone): / < 3, NonPotabie Heated ®S^Non Potable. i ■ 4. OihM>J__:_-______ YChain Of <^stc^y?__i. Y^'Ej.74o. . E/^:7.yX^7E ■■■•;

>Co^ . Comments: ;4’ By:i I From: 'Agency Code: _ . < PWS #r’i_ Source’ID: v/? /». ' -• Type Descriptor; _____ . ' • 7 '■■•■, . - • ’. .. ■- ?.’

Bin ip: batlon’s/li ___ Name/Company •' ? - Street '' ' . I ^^i61v2S7BE3_Z27S^ / T rM-* I- - __ Clty/St/Zlp I ^MtWimidn of Source Phone#: < . ; > I CA.CH. Bl? E;

Lab#; te X-Heterotrophic Plate Count ORCANIC POTABLE ANALYSIS , Y ORQAli^ NpNPOTABLE/SOLID ANALYSISY O^enrii^ialysis ;< ail others) ^Trihaiomethanes (524) ^Volatile Halocarbons (524) Xi Purgeable Aromatics (624/8260) (Public supplies) 7 (priv well, raw, stp) ^sCVolatlle Aromatics (524) ' __ Acreteift & Acryiohitrile (826Q), E E ? X’^e^ Coliform (all samples) !_il8tel,T11heiome»ian^ (510) __ OrgahochIorine Pesticides (608/8081) __ MIcroextractables (504) 'X'PCBf'{Arochlors) (608/8081) ■'?ZXS■-'E tcSi _ Pesticides/PCB screen (508) _ PCB as Decachlorobiphenyl (508A) XHefbi<^te(SNil8/toM-i)E^ ' __;Oth8rPesticides(SM18/6630) «L_^ B_ Herbicides (515) X Petrcferm Hydrocarbbn Scan (310-13) Y_ Pesticides (52S) ■= .■__ .GIycSte.in;vy^7E7':'"-'-7; Carbamate Pesticides (531) __ Ad^ extraci^Ies (62^270)

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gOesX-i—^mg/U- 5 i/: - „ Glyphosate (547) , ■ _Diquet (549) __ Chlorination Disinfection Byproducts (551) _ Haloacetic Acids (552) ? __ Bas8 Neutra! Extractab!es (625/8270) < T^GC/MS Unknown Scan Phtttelates (606MS) - Other Sb?’- _Other Pe^ddes (SM18/6630) L-ajmi.2..... „UCMRList1 — -Al^'TAHAI^^t^E-- SSSHUW ESSE _MtBE Only (524)

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g INORGANIC ANi|iiy<3|EBllD - Lab#: ,? ■ ' r, ,_ColorYY ..,-ZWW.^rhinum • ^7' ■■ '■■Y-Y5,7ij777.'...5 7''7'... Potassium pt ' ■ • ,^Antimony -. “^^Gelerilum ”.:‘X ^Arsenic I W^-W^WiS»rfl^hIorateA}hlor1te X Barium 7^ 7EE.2Wlium .-7E ' '__ Cyanide na<^l^.(5day)7YXiEBW!^X'^ -5-Boron M Cadmium , , 77. E^^^E^'gOEXlT' ^jssa.'. b ’^ Soluble BOD (51 77' '7^ ®® CaCOs __ Calcium, ad CaCOa as N . < . sijeie ; __rJltrbgen.NI^teasN Xchromium. Total .; - " ■ ™ Ntbogeh,7M|^ Chromium, Hexavalent.: ■2-VPiatil^'-'"" _:1btaI0rganli5 Halides _ NItito,4btel iqeldahl as N Xc^ 3;^ '__ Seml-violatiles .;- ; Solids,^1^j^ht7^XE'7’Y 7': '.• ^X ' '7 zXCopper 7-7'.. Sdlds. Seabaue ' Z PkS. ■ ' ■/ X»7.: 3, ISfcpviO®’/' - zWss?ss,s;:p zis&a ; zis^» mr mes-x _TCLP-Herblcides X^tCLP-Vblatiles - Y Y; _TCLP-BNA’s.; =/ ^BiS^SSS SBIxBIx&eXE NYC-WTC_000074953