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Chain of custody record, Westchester County Labs, undated

Machine-extracted title · confidence 85%

Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.

NYC-WTC_000026585–000026588

Folder label: “23471

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NYC 9/11 Public Portal Document

We 68° c ester v.com ENVIRONMENTAL SEFVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 —99959099900—9/0(914)593-5575 NYS-ELAP No. ime/Date Set: Form A-70 (rev. 1/96)

Sample Type (circle one) *(29.87*7 75 370.27331. $4 70 < - ■ ‘ .1 Potable ) 3. Non Potable Treated Bottle #’s: _ _ —k i / 2. Non Potable 4. Other Chain of Custody? ves ..... no Time/Date Collected: _s Comments: __ __________ ___ Collected By: __ _ __ a__ Collected From: I— .. ’s Name _ ’0 /i- r C ty/St/Zip

(fl SO Phone#:__ CA,CH, BI?”

ACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS b#: __ ...................... _....... _ Lab#:...... _.............- . _.. i — ircie tests) (circle tests) — U i Heterotrophic Plate 1 Trihalomethanes (52-1) ‘ 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 22 Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) 3’ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5/ Organochlorine Pesticides (508/8081 5. Microscopic 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) Macroscopic ; 7 J Pesticides/PCB screen (508) 7. Methoprene (616) .API_ 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides: (EPA1978/8151) 8. Other:........ ................... 9. Herbicides (515) . 9. Pesticides (SM18/6630) yes___ no (10) Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? 11. Carbamate Pesticides (531) 12. Glyphosate (547) "11. Glycols ltmatpepo 12. Acid Extractables (625/8270) I Chlorinated:? ___ yes___ no 13. Diquat (549) 13. Base Neutral Extractables (625/8270) Free Chlorine Res:___ __ _ mg/L 14. Chlorination Disinfection Byproducts (551) 14. GC/MS Semivolatile Unknown Scan Total Chlorine Res:............ _ mg/L 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) 16. Pesticides (SMI 8/6630) 16. Purgeable Aromatics (DEF) pH _ 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other:__ __ _ __________ 18. Other:_____________ ============================================= INORGANIC ANALYSIS REQUESTED - Lab#: . I (circle tests) /39: Aluminum ■ 1. Cuiul 20. Acidity _ ! 59. Potassium 2. Turbidity 21. Alkalinity, as CaCO3 j 40.Antimony 60. Selenium 3.pH 22. Bromide | 41. Arsenic 42. Barium — 61. liver i 4. Conductivity 23. Bromate/Chlorate/Chlorite f 62. odium 5 Corrosivity (temp: °C) 24. Chloride | 43,Beryllium . | 63. hallium 6. BOD (5 day) 25. Cyanide 1 44. Boron 1 64. Vanadium 7. Soluble BOD (5 day) 26..Fluoride ’45, Cadmium 65./Zinc j 8. Carbonaceous DOD (5 day) 27. Hardness, Total as CaCOa' 28. Nitrogen, Ammonia as N 46 Calcium, as CaCOa 47:Calcium, Ca+2 ICLP 9. Chemical Oxygen Demand 66. Metals/CN 10. Dissolved Oxygen 29/Nitrogen( Nitrate as N i 48.Chromium, Total 67. Volatiles 11. Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-violatiles 12. Total Organic Halides : ' 5 . - 31. Nitrogen, Total Kjeldahl as N 50 Cobalt 69. Pesticides/PCB’s 13. Solids, Percent (%) ' ‘ ’ 32. Oil an Grease 51 Copper 70. Disk Deliverables 1 Solids) Settleable 33, Phenol _ 52 Iron ITCLP 15, Solids, Suspended 34. i nph i I 'I li :■ ' ’ 35. Phosphorus, Ortho as P 53.Lead 54 Magnesium / I 1 Cl Ptitsi 16. Solids, Total / )P-eali 55 Manganese 17. Solids', Total Dissolved 18. Solids, Total Volatile 37, Surfactants —38.UV254 36. Sulfates 56. Mercury 57 Molybdenum is <■: 4 1 : :! ■ 74. TCLP-Volatiles 19. Other; S 70_ | asamseereeETEEoamosedee 58 Nickel 75.TCLP-BNA's d NYC-WTC_000026588

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NYC-WTC_000026588Source: NYC Law Department, mirrored locally

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