NYC-WTC_000195935

NYC 9/11 Public Portal Document a cr a ae NEW YORK CITY DEPARTMENT GF HEALTH - BUREAU OF PUBLIC HEALTH ENGINEERING NYC-WTC_000195935 o 2 LAFAYETTE STREET, }1TH FL, NEW YORK, N.Y. 10007 a. TEL: (212) 676-1520 Fax: (212) 676-1517 a REQUEST FOR BACTERIOLOGICAL ANALYSIS Q 9° SAMPLING FOR 2 PUBLIC WATER SLPPLY ‘3 BOTTLED WATER J BEACH WATER <1 POOL WATER WELL WATER bE WASTE WATER J OTHER = oy CHAIN-OF-CUSTODY RECORD nf Name of Sampling Lovasion Location Address Ul TC Sampling Source: Date/Tine Samp}e Taken: Sampte [1) #: L2IGAT POND ]2§ D2 “|GRUAND 2E7O Borough Zip ELOUNA ZEzy HE 3v M35 : Public Health Sanitarian: ID: Water Run Nm: yp Ta SAMPLE PREPARATION: Stored @4°C Yes Uo Tap: Flamed Nat femed ™N © Ann Apee Ol TU 6$ t Contpiaint (CCa): a) ha RELD TESTING: Chlorine Residval(ppm): pH. Sample Temp (SCP) wW © | Field Comments;Remarks: 4 oD | Lu | Received by Bureay of Labs [455 First Avenue. NY, NY 10016 Tel: (212) 447-6811) Zo Date. Time: Sample Temp (°C): ¢ —_— Signature: ilasi@. | 60%, NO TERe CoaspRa . POOR SAMPLING ANALYSES LAB NO: \CXOD MULTIPLE TUBE DILUTIONS (hfPN) MEMBRANE FILFER COUNT (MF) } ML 0.1 ML 0.01 MIL 0.003 ML tT BG EC LY BG EC ir BG EC LY BG EC QUANTITY TOTAL FECAL ; FILTERED COLIFORM COLIFORM -OTHER 244 48} 94] 48 1 244 244 48 J 2d [ 48 | 24 | 24 | 48 § 24 | 48 | 24 | 24 | 48 | 24 | 48 4 24 1}O)+| OSLO {O}o OloO O19 —1H@I+{Olalo loI{o Ol O19 | w | 3 {Oj Sig ic O}O Ole O}O 4IDIAIODlLaAIO |O Oo OO ie) Q 51OI*eY [OLOO]; ao Oo jo Oro Q a 1° & OO Oho) 9190 K My Coliform Coun RGIPN Se ME/100m1) Fecal otro RN MF/t00m1) Standard Plate Count ( /m)) if Dat R ted: Bactertol ‘ Lab € Be Date/Time se e/Ume Reported: 8): eos ° \Vas\c D7 Ahora eee oo 2 oem mr w PHE 102 (2/09) fess oO ~I