Chain of custody record, Westchester County Department of Labs &

NYC 9/11 Public Portal Document

'J ENVIRONMBNTALSERViCESSAMPLESUBMi^

r 2 Dana Road, Valhalla, NeW York 10595 . Y (914) 231-1820 Fax (914) 231-1772 ; .• 'Tlme/DateSet

1.Potable

:|t^XsW 3. Non Potable Treated ■ 4-0ther'____4__X-^XixlxXi 7id»?«t^'busSiie^.i^y«-^^ “444®wBiXxS£ Bottlers:_____ SI ' Oollecled By. __________ ^Sency Code: NW€. PWS #:____________ Source ID: TypeDes^ipl flcSwiijH &

I Collected From: ” - ' ' r ■■■W^lfeMfyatettfyiai^-NaHae4-4 - /f r^. ' I. '' 4 44 ■ /. Name/Company

;City/St/Z!p _____________________ :_________ i Wehtificatlon of Source X__________ ___________________ Phone#: • 4 Fa^df: 4:< Berten Print : _X.X--.^-XXX.^4Xi^^

I? CA.CH. Bl? :I ;^r- •■ BAbtERlOLOGICALANALYSIS '5- l-ab#:4----------------- ORGANIC NONPOTABLE/SGLlDANALYSli ORGANICPdTABLE analysis

f : .,;(hemodialysis & allothors) ;

__;Coiiform MPN (privwell,raw^l?{p)£ __Trihalomethanes(524) Volatile Halocarbons (524) „ Volatile AromatiGs(524) Purgeable Halocarbons <S24/tf2^) ’ / iSi

£ XPocalGoliformtailsamples) . X Microscopic ;45lSwoeC^4// V-Y... __TotalTrihalomethane Potential (510) <_ Mlcroexbectables (504) __Pe8tlclde8/PCB screen (508) j

I PdB as Decachlorobiphenyl (SOSA) _4 other Pesticides (SM18/663Q) ‘ <I >• Xapi . ^ Hetbldd^ (515) _Other, ■' 7^ ^trple^ Hydrocarbom^n 43lG-13)= Pesticides (525) Glycots in Water - ‘ 4 t Chlortnated;? yes----- no __Carbamate Pesticides (531) _Glyphosate(547) ; ■;; X AcidExtractableS (625/8270) ; . m , Bas0Neutra!ExtraGtabies(625/827O)£^

i FreeChiorinePe8:--------- mg/L Total Chlorine Rea:----------- mg/L X GC/MS Unknown Scan __ Chlorination Disinfection Byproducts (551). ;4Z|;.phtiw^^8b^4 __Haloacetic Acids (552)

tW/ OSSiBB^MfS j^tOCHEMlCAL ANALYSIS Other Pesticides (S1VI18/6630) ^WMRLIstr _MtBEOn!y(524) _-u3l sfei;/

I Aluminum /aiS s Turbidity ^ ABc^ntty; c iSreanl^-v Antimony :-'i-.Arsenic' v v^SelehliBn \

s/ XCcrrosiyttyCtempL^-^ Z Condi^vity , ’ „ Bromate/Chlorate/Chlorite _ Barium I

_ BOD (5 day) .. II f 4 _ CarbonaceousBOD (5 day) • FluorWe ?iX^SdlublieBOt^;^..(^)/4/4<i^ ii ' 44 Hardness, Total as CaCOa .^ Chemical Oxygen Demand Dissolved Oxygen __ Nitrogen, Ammonia as N ; .^NlWW’. NIt'^ asN^^Y __ Cadmium £. Caldum, as CaCOa / ■; _ Calcium, Ca*’ ; 4^C»itoimRin^ 4^ ?? W-?. Y

IS.. X Totel OrganfcCarbon 4> -. __ Nitrogen, Nitrite as N ; __Chromlum, Hexavalent XTotalOrg'&nlcHalides „ Solids, Percent (%) 4XSollds;'$^We4 .V ;O Nltjogon, Totaliqaldahl as N __ Cobalt ■ ■ ^-pirarti 6r^so-4-.'/; '”-Y'. ''i—Copper,^ ,.4 £-44.P(^r^Y-;££Y'?:/£;-£,v;//-''' £;'__;lron'-£^' I f

St - «M«aU

__■ Solids, Total .. X^ Solids,TRrtrfDlssplWf Solids, Total VolaWe < 'Q&ianY-'j.-:»-'-;"' '• .. • :- 4„ Pho8phorus Tbtel 9S P r : -4. ; 44=Phosphorus, Ortho as P ■• .■iU-:.0«l^iWs"'.?4£"V-- Surfectants

A*. <■' _ Magnesium .^'Manganese.; __N(Wyb<^m -

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