Chain of custody record, Westchester County Department of Labs &

NYC 9/11 Public Portal Document

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BWnP*^^ - Dana Road. 2 Dana 2 Valhalla, New York Road. Valhalla, 10595 ’"".' ' ^f^'VOrk'^105^ g5^77Y^i5«^ (914)231-1820 (914)231-1620 Fax (914) 231-1772 Fax (914) 231-1772, 7 - /,<« '■• A':'' -' g‘' '.' ' ''• ' ■'■' •■ '-".• ■'■ ' 4 .'■ ■. -'A-' ■*■■■■• ■’•

Sample Type (circle one): , . b &'S ^9E9B^^

, Time/DateCollected: fOm- -.. ,.. ..., Comments:______"-1 p.. CoilectedBy: .PWS.#: ^' ' ■';y ''-.I^^SoureeID:‘'g;Y

Collected From: * j jf 7 1 / Bill to: / , * /■-■hfahWGompii^^ "'• B Street~ A 7- y-7y'.7;7 Y :. :bity«tfap .. . ................... ...................................................... City/St/Zlp _________— I

' Collection Point-------- .-1 ■cAch. Bl? <■ :^^77^Checkfe-<S#;^'f CA.CM. 817—4^ Check#: HM I BAGTERlbLOGIGALANALYSIS ;sfY;.,,:.? ■• ORGANIC POTABLEANALYSIS . .. 7 ORGANIC NONPOTABLI&Sblg^ANAi^^^ (hemodialysis & all others) __Trihalomethane8 (524) , .7' '.Y.jpuraMhie^TfaidqerOMO '4'$.^ t ;^Collform MPN (privwell, raw,stp), _ Volatlle Halocarbons (524) __ Volatlle Aromatics (524) 7^ i4Z7Aordielh t AcB«i^ __ Fecal Coliform (all samples) ^TofelTrihaiometii^ (510) Microscopic __Micro0xtractabie8 (504) Wcrt^copte :• __ Pesticides/PCB screen (508) __PCBasDecachlorobiphenyl (508A) / /-i. qthdr^cida^:(S«^W^>7-Y:7iJ7|B

soisssio -?w Refogerated?___ yss_^ nd <Y _ Herbicides (515) _P8^cides(525) _ Carfaamate Pesticides (531) Petroleum Hydrocarbon, Scan (310-13) 7 i __ Glycols in Water , _ Acld Extractables (625/8270) 7 ■ • ’ J® Chlorinated:? ___ yes___ no __ Glyphosate (547) L^iDiquat (549) .;; W6C(MS Wdwrt S<^7YBa^S7«

fe '^^bl^rfe'Ri^is:^^ Ti^f :^iwtferKi^ TgA. B. Chlorination Disinfection Byproducts (551) __Haloacetic Acids (552) Phthalates (608MS) Hj- OlhsriZiXZZZLZ^^ ' . \ «

i RADIOCHEMICAL ANALYsil^ to other Pesticides (SMI8/6630) 'liuGMRUistl : i'.fV i:iMtBE Ohly (524) ■;t fe; ?/<> K IHOROANICANALYSIS requested - Lab#: — Color - ’ __ Turbidity __ Acidity __ AJkalinlty ? _ Aluminum •, ' ^Potassium,.'-.///; l:SeienMn:W®«l i —, pH 4Y.;Conductivity — Corroslvity(temp:____,®C) _ BOD (5 day) _ Bromide • .^Bromate/Chldrate/Chlorite ' _Chloride Cyanide Arsenic / /.> '

:.2; Beryllium _ Boron Y 7 ■''Y.H ■ Ss '"->-?Cart)!oifededifeW>'/^ day).< -.^pwiortda;/ >'■ v 7' _Cadmium 7 7 < -; — SolubfeBOD (5day) feS'- 7^7Chanel,.--i.. f'Htn^fin. Arnmonia«»rW .. 77£rDl8<oMCh{ysiert .v'Y / \__Chrdr^^ H Y£7Wit>^ Cdfbdh " __ Chromium. Hexpvalent _^^OFganlcHag0S. N _ Cobalt / > :YiOitandGrMse - __Copper/Y''?v^..

_„Soiids,Su8p0nd8d ;-1^7s6licfe»'fotalY77;'-7^- _ Phosphoru8 Total as P .•-.>• _^lron /sV^tikKl' 'y,' •■//'jf • / _ PhO8phoru8, Ortho as P ; _ Magnesium . ■.■;? IS r Solids. Total Di^olved / .-' ;_^.Su|fates./Y'-- , _Man^^ } ._'Solids. TotalVolatile _ Surfactants _Mercury-i'./YY. _,TCLP-Voiat Other Y '.^..UV264.r-' - _ Mc^ybd^um : ' ■"■ 'fe -• ^Nlcket f

NYC-WTC_000075069