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Chain of custody record, Westchester County Lab

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Document tracking the custody and handling of environmental samples submitted to the laboratory.

NYC-WTC_000027414–000027417

Folder label: “24429

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NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES : ARLE SUBMESION FOTIM WESTONIEGTER COUNTY LAPORATDHIFS AND RF SARCI ■■MH s 1.8 A

Ulest f vpter ‘AX -29—0302DanaRoad,Valhalla,NewYork10595-- _914) 593-5575 tYs i ' 116 Ne 6 )rimeDate‘setMod PAtDE6A2AkW,E2458m ! cirri A /C 0, 1/001 1 ; ;... , " ' । bamgC IyPC *.** •> " ;■ : i' * I

2..Non-Potable— 4.Other 'I Non P >♦,'! !<’ Tih i oM4L.o Bottle #’s: CA.FQ I Chain of Custody? ves no 00285. EHDOt Time/Date Col ected: /050 /4* Comments _ ■ colCol eected By -C--- cted Fromddd An-nv o i ■ PWS #:_ Bill to: Source ID: — Type Descriptor:'.___

iprarionelndividuel’s Name—— U € P Name/Company... Street. JL eST LAKe D AWE Street J.__________ Cny/SUZip City/St/Zip. Identification of Source_____________ .._______ _ _____ -Phone r f CA, CH, Bl?___ ____ Fax#:

Col lec 11 onPoint 4_A____ Check#:_____ Amounts

Bst* mococort ANALY* S DHflANIC P 47 ? AiJAtYS! S * ■; r.MC NOPH 1; AHi i "1 A 55) ANA; YElt Lab#:____________ ___________ Lab— / t —s (circle tests) (circle tests) 1. Heterotrophic Piate 1 1 rihalomethanes (524) D 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) /2. Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) 3. Coliform MPN (priv well, raw, stp) (3 4. Volatile Aromatics (524) Total Trihalomethane Potential (510) 4. Phthalates (606/8060) a Bonot 3. Acrolein & Acrylonitrile (624)

Pesticides/(507) 7)6,Pesticides ------ 4, Feoal Coliform (all samples) 5. Microextractables (504) . 5. Organochlorine Pesticides (608/8080) 5. Microscopic PCB screen (508) -.6.- PCB’s (Arochlors) (608/8080) 6. Macroscopic eenmg r ■ ide . (ii 18e t 3151) Z.ARM 8. PCB as Decachlorobiphenyl (508A) 9. Herbicides (515)-= i ■ n . Pjr he io- . IM 180 “30) /8.Other (10 11. Pest i c Carbamatei d es (525) Pestic i d-»= es (531) “110.1. GlAciydcolExtractabl ■ s in Wateres (625/8270) • ---V ‘ olot, n Mtyliooae Sean (010 15

Refrigerated?.yes

Chlorinated7:____ yes_____ no no 12. Glyphosate 13. Diquat (549)(547) d n (13. GC/MS Unknown Scan A •. ’ ■. At uel ixtra tabic (G,A/8‘/07

14, Purgeable Halocarbons (DEF) 115. Haloacetic Acids (552) 15. 16. Purgeabl 14. Chlorination Disinfection Byproducts (551) Aromatics (DEF) " Pesticidese (DEF) 1, Free Chlorine Res:_____ __ __rng/L .

Total Chlorine Res: ___ rng/L 16. Other Pesticides (SM-18/6630) 17. Petroleum/Hydrocarbon Scan (310-13) 1 17. PCB’s (Arochlors) (DEF) - .

LPH__ 6s"; -A0 ANA; Yhi S H< (UP SH 1 .. b* Theestiae (circle tests) ----- MGmm 1.2.Color = 20. Acidity ===== —159. Potassium 3pH--- Turbidity -- 21. Alkalinity, as CaCOa 122. Bromi d e — "a (841.Arsenc----- 61. Silver Iy Aluminum Antimony 999a60.Selenium. 4..Conductivity-4) —24. Chloride (43) 23. B-omate/Chlorate/Chlorite 42 Barium Beryllium n 62, Sodium --- ’ ii : I halltat, 5. Corrosivity (temp:______ °C) 6.BOD5day) Cyanide some 25. Fluoride 26. _ 144. Boron A 155, Zinc Lad 45.Cadmume / tj ‘Vanasdimn. 7 Souble BCD (5 day) 8. 9.: Carbonaceous BOD (5 day) Chemi c al Oxygen Demand 27, 28. Hardness, —.29. Nitrogen. Total asa CaCOa Ammoni as N. -46. — 47. Calcium, Cal c i u m, asCa”CaCO ? t CLP n -mm 66.Metals/CN — .10, Dissolved Oxygenan 130, Nitro 11. Total Organi Carbon. c Halides Nitro gen, Ni t rate triteKiaseldN. gen. NiTotal as N_ “ 149,48. Chromi u m, Total Chromium, Hexavalent 636 Setil67, Volati les I volot’c s 412.Total Organi c 13. Solids, Percent (%) , 133. 31. N it —32. Phenolrogen. 011 and Grease Albs ahl as N (50Cobalti= 51. Copper . ! ‘ mo Gs/PUl‘s o DislPole ablos 94 I ..t wte I' 115. Sol i d s. Suspended t M34. Phosphorus. Total Ma as R, 52.Irondd 53. Lead —5 TCLPOeTe 71.TCLP-Metals-o .16, Solid s. Total ad 0 35. Phosphorus, Ortho as P 54. Magnesium 1155. Manganese a 72.TCL 173.TCLRP-Pesticides.mld Herbicides G lmmu7Solids.Total Dissolved 36. Sulfatesi 4(19Oiher“A1ds38UV25402 =__ —___ .____________ NYC-WTC_000027416 De 74.TCLP Volatiles etrsey

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NYC-WTC_000027416Source: NYC Law Department, mirrored locally

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NYC-WTC_000026753 · Box DEP Box 19

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

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