NYC 9/11 Public Portal Document
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environmental services sample submission form
WESTCHESTER COUNTY LABORATORIES AND RE^SEARCH ?
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2 Dana Road. Valhalla. New York 10595 < { A Z
(914) 231-1620 Fax (914> ?31-1772
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2. Non Potable 4. 0th8r__j^L«l£Miil__:J-/tl^
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Chain of Custody?___ Yes___ No ZZ P .,7*7
. Time/DateCollected: .L_._______________L__^__.Y_.'; ftCowirtiiBrite;'ft'"^^'Y ^;;yM:;vWYiYY^-yY;$ft;YftiYyYy;^Y^;2^^
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City^t/ap city«tcap
Identification of Source
r c^^oi Point _____ sr I CA.CH.BI?■ft:--ftYCheck#: ftft;ftAft Amounts : J 'ft;
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SACTERIOLOGICAL ANALYSIS
Plate Count i . -Wbrn^MM (524) 2 IM;»i4bl^HWoSW !62-W8260! ' ,1
„ Collform MPN (priv well, raw, stp) ; YSSXftft?" =»«Wr’ S I
Fecai Coftform tatl samples)
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__ Pestlcides/PCB screen (508) Y ft - <-
WwWwB#
__PCBa8Deoachlorobiphenyl (508A)
__He«tt^ '(5t5)'^z- ■' ft- ft- ft'
MS -'
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E'^-1 _yes__no _Carbamate Pesticides (531)' y ;■/ .,; 7;yY^^
yes* no ■ PWwi^ ' ZCL<O\ . \;. ■- "'• --'ft ■ Y -...ft
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fe. ■ tng/L
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_Hatoac8tic Aclds(552)
__OtherPestlcides (SMI8/6830)
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CALANALYSIS _MtBE Only (524) '
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I* <;4ft<W9sl^^^(^PL_--^)t > - _^nld0 /ft A'-’ ^Beryllium Siti«wf.| . / •^1
__ Boron
ft-s?Caato«a<^ Bp^ .^^ •:,? • ' -ft ■ A' ft.:ft ftS«|«S^P •3"
_ Solut3leaOD (5day) /v-:;: _, Hardness. Total as CaCOa ft j3iC5al«^;a8-p^^-Y,aftft^^
__ChemicatO>c^en Demand 7/ ■< WwttwWM'N^ ft
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P ft__ Total Organic Halides _ Nl^en. Total Kjeldahl as N vXobaft -
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_ Solids, Setteaisle
^ Sollds, Su8pended
_S jSiollcIsi’telal ft
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__ Phenol
man<rGr^'ftft.,ftft.^
Phosphorus Total as P “
_ Phosphorus, Ortho as P
ft>Si^:ft111BftA
_^ead
_ Magnesium
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__ Solld8, Total Dissolved •• ftft,.__ Suifetes ••?; ,■ ft j/Manganese 1 ft-ftftft-,
„ ,Sollds, Totat Volatile ft _^ Surtet&nte A VWcury
’’ft';--W254'ft.ftft Y ■ ■' ■iZlWi«tenum''"1'ft'■•" __TCLP.Volatnes
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NYC-WTC_000075303
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