Chain of custody record, Westchester County Department of Labs &

NYC 9/11 Public Portal Document

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SarnplgTyBejcircleone): ■' ," asm 8;h^Pofebte-7l»ato^ ■ SottieW' -■ -Ciwln of Custody? A Yes'^^ No SI Collected By:*Z? Agency Code:/^ / " Descript Ml SI /^Q^oh’^ndlvlduai’s Name ‘ y ‘ Name/Companv -> ■ '

■ cfefst/ao j\jy fOytys oityzsuzip^_JaiS,-r»£^^ ::Y identification of Source / j/ Phone#: ' ' ' ' ' ' Fax#:

E Collection Poinf------- A_ZIZ^E^0_Z_Z__ | ca,GH, Bl? _____ Check#: Am^

^ai gJ FI bacteriological analysis Lab#:___________ . '■ ,< ■ -

ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABL^SOUbAmM ._Heterotrophic PlateCount _.Trihalomethanes (524) • (hemocllal)«i8 & all others) ^Volatile Halocarbons (524) , , _j;;Purb8iableArofeatlcsB*t824j®^BS

i Coliform P/A (Public supplies) ■44Collform MPN (priv well, raw, stp) ^^olatlle Aromatics (524) Coliform (alt samples) _ Total Trihalomethane Potential (510) _,OrgancwhlortnePestlctdes:i(60^|^1;^;:s _ Microextractables (504) 'PCB^^rP^fofsF'WWFOO* I __ Pesticides/PCB screen (508) ^PCBasDecachlorobiphenyt (508A) 'OthiBfT^cfees''(SM18/^-»^ __ Herbicides (515) ; ._^P^feUmHydrpcarbop;S^0^^ other: ■ _ Pesticides (525) —'O|ycofeMWteter:.Sa./ yes _ no _ Carbamate Pesticides (531). Acid BiMiiifeMiid chlorinated:? _____ yes___ no __ Glyphosate (547) * Base Neutral E)dfactable^ {625/«??Q^il '4 » FreeChlorIne Res:, „Dlquat (549) XOO/MS Unknown Scan ’ ‘ ' .-'T mg/L __ Chlorination Disinfection Byproducts (551) ; __ Phthalates (606MS) "'"'y TotalChtorine Res: _ Haloacetic Acids (552) ' 'Other:. e M- „ Other Pesticides (SMI 8/6830) _UCMRList1

I RADIOCHEMICAL ANALYSIS __MtBE Only (524) .^gj^addri.' 7y7^ II^ORGANiC ANALYSIS REQUESTED - Lab#: _ L'«TJHaBaMHr.«M Color _ Acidity mlnum /^Turbidity , — Alkalinity Imony ''^'Selenium 'I /Si./’PK -Y» • p Conductivity' Bromide __ Bromate/Chlorate/Chlorlte snic lum .■Y A S&So<Sum:\, . '"ySHi 5\>//C6rrOSIvity Corrosivity (temp (temp::___“C) __ Chloride “iZThallium fe >:;BO0(5day) .;__ Carbonaceous BOD (5 day) _Cyanldo __ Fluoride „ Boron ^Cadmium 'tJvr V

7;^ Soluble BOD (5 day) ; __ Hardness, Total as CaCOs OCaidum, as CaCOa . *_ Chemical Oxygen Demand _ Nitrogen, Ammonia as N _ Calcium, Ca*« ^Dissolved Oxygen 1 i/. Total Organic Carbon Nitrogen, Nitrate as N . __ Nitrogen, Nitrite asN ^>^Dhrpmlum, Total / .ijChromlum, Hexavalent =asKK'®iJ Y^Yibtat Organic Halides _ Nitrogen, Total Neldahi as N ’>^Cobalt <_ Solids. Percent (%) __ OH and Grease XZCoppef X Solids, Settleabie __ Phenol XTron . .L- Solids, Suspended __ Phosphorus Total as P :^Lead ;KLE ' L „TCLP-Metals , u. Solids* Total __ Phosphorus, Ortho as P __ Magnesium _TCLP.Pesticldes ?■< U_Wldsi Tbtal Dissolved _ Sulfetes ^Manganese .^TCCF^HerbicideS': _,^Sorids, Total ^tile __ Surfectents >{^Mercury < 'Other _TCLP-Volatiles; /a, _ UV254 5dMoM)denum ' ‘ tCLFi®N/&l<‘■'■Y t/

NYC-Wf^0d075i35