NYC 9/11 Public Portal Document
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Time/Date Set: ; ' ' ;. ..... 'ormA-70(rev. 10/01)-^'
^iY;d.NbnPotable d4;?fedddd,^.,d^M^S—^Y;c^»^ __ ____ No
: TIhra/bate Cfoliected: d2/d Z d2I2^^^—3-——— Comments:
Coilected By: dddYCd^— Agency Code:'dl---d ' PWS>
Lddafldn’s/lndlvldual’sName" Name/Company
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, IdenftBcatlon of Scarce ; Phone#; _d.._Lddd—— P®«*:
_ j'_______'
BACTERIOLOGICALANALYSIS
'- . . ._________________________________________
Lab#:
■’<
al
J ORGANIC NONPOTABLE/SOUD ANALyI^ /
Lab#: /'
ORGANIC POTABLE ANALYSIS
__ Heterotrophic Plate Count _ Purgeable Haiocarbons (624/8260) ?. W ; fi
; (hemodialysis Sail others) _Trihaiomethanes (524)
i^Volatile Halocarbons (524) : d.- Pufge^'’^ma«da'WO:^S^s|^)^ 8
.d Coliforrn P/A (Public supplies) ;
d. Coliform MPN (priv well, raw, stp) j^Voiatile Aromatics (524)
„ Fecai Coliform (a« samples) _ Total Trihalomethane Potential (510) _ Organochlorine Pesticides (608/8081) / -
d-Micrpso^lc _ Mlcroextractables (504) d 'FOB'S-
__ Macroscopic _ Pesticides/PCB screen (508) d Herbicides (SMl8^3b,^SW
'Xi'AR- __PCBasDecarftlorobiRhenyl (508A) _ Other Pe8ticldes (SM18/6630) ’ ’.L
„Other:^__________^ .. d. Herbicides (515) >*** _ Petroleum Hydrocarbon Scan (310-13)^''(
„Pesticldss,(525) d ^GIycofa'.lri'Wer?" y:
I Refrigerated? yes no ; _ Carbamate Pesticides (531).
_ Glyphosate (547) ^ase Neutiaf Extractebfes/(82b(b<^P^y
Chiorfnated:? yes ___ nd d^C/MS Unknown Scan ?
„Diquat (549)
fe- Free Chlorine Res:_____ mg/L _ Chlorination Disinfection Byproducts (661) d Phthalates (606MS) * ; 4^ <
Total Chlorine Res: mg/L _HaloaceticAclds (552)
„ Other Pesticides (SM18/6630)
I _i.UCMRUst1
rRADIOCHEMiCAL ANALYSIS __MtBE Only (524)
3Kii
Other;
-V iNbRGANICANALYSISREQUESTEP. Lab#: ~
''d-^lor'Y ''d^lty. '^ 3 "^dAluminum Potassium /
__ Turbidity __)Mlfallnlty Antimony .
/d’ljH' 'dBromid# ■ _^Arsenic ■ ’■ ;J:rSllver
...Conductivity __Bromate/Chlorate/Chiorite _^arium iiiiSoaum
_ Corroslvlty (temp:___‘’C) _ Chloride dfSecyltium k .^.i^dinum:
d BOb(5day) , _Cyanlde __Boron _ Vanadium
d. Carbonaceous
CarbohaceouaBOD day)
BOD (Sday) ________
Fluoride j^^dmium
d^ybleBOD (5day) _ Hardness, Total as CaCOs __ Calcium, as CaCOs
_ Chemlcal Oxygen Demand __ Nitrogen, Ammonia as N >_Calctuni, Ca« j fit£
Yi DlssoivedOwgen _Metals/CN . J
__ Nitrogen, Nitrate। as N J^Krbmlufe Totel _Volatlles J.;, L
d Ibtai Organic Carbon __Nitro^n. Nitriteas N _Chromium;'Hexavaient
_Semi-violatiles
d T?tal Organic Halides Nitrogen, Tpteliqeid^hl as N _£^Cobalt _Pesticides/PCB's g
Sollds,Percent(®/<.) _ on and Grease " _4.jEop'per L
Solids.Settieable .^.'Phenol _x^ron
_Solids.Suspend8d _ PhosphorusTotalasP ^^d^d - IfflLE
_iTCLP-Met^ , ?
CM'
Solids. Total Phosphorus, Ortho as P Magnesium
_Sollds,TotaiDlsso|ved _TCLP-Pesticides
Sulfates _^anganese / _TCLP-Herbicides
__ Sends, Total Volatile _ Surfactants _u>Mercury _TCLP-Voiatlles
"«<'Other:'- : _ UV254 _irMolybdenum ./
NYC-WTC_000075179
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