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Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000070606–000070609

Folder label: “27872

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NYC 9/11 Public Portal Document Westchester County ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 Time/Date Set: Sample Type (circle one): 1. Potable 3. Non-Potable Treated Bottle #'s: 2. Non-Potable 4. Other Time/Date Collected: 090 T:mgn/ Chain of Custody? _ Comments: Collected By: NEIIMAN Agency Code: PWS#: Collected From: Location's/Individual's Name NYC DEP/KENICO NamerCompany 19 IVeS+44 Apve Street City/St/Zip lhe NT 10595 City/St/Zip Identification of Source Phone# Collection Point CROGH CA, CH. BI? yes_no Source ID: BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES Lab#: (circle tests) 1. Heterotrophic Plate Count (hemodialysis & all others) 2. Coliform P/A (public supplies) 3. Coliform MPN (priv well, raw, stp) 4. Fecal Coliform (all samples) 5. Microscopic 6. Macroscopic 7. API 8. Other: Refrigerated? yes_ Chiorinated?:yes Free Chtorine Res:_ _mg/L Total Chlorine Res _mg/L Lab #: (circle tests) 1. Trihalomethanes (524) 2. Volatile Halocarbons (524) Volatile Aromatics (524) 4. Total Trihalomethane Potential (510) Microextractables (504) 6 Pesticides (507) Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyl (508A) Herbicides (515) (10/Pesticides (525) 11. Carbamate Pesticides (531) 12. Glyphosate (547) 13. Diquat (549) 14. Chlorination Disinfection Byproducts (551) 15. Haloacetic Acids (552) 16. Other Pesticides (SM-18/6630) 17. Petroleum/Hydrocarbon Scan (310-13) pH INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) 1. Color Turbidity рH Conductivity Corrosivity (temp: °C) BOD (5 day) Soluble BOD (5 day) Carbonaceous BOB (5 day) Chemical Oxygen Demand 10. Dissolved Oxygen 11. Total Organic Carbon 12. Total Organic Halides 13. Solids, Percent (%) * 14. Solids, Settleable 15. Solids. Suspended 16. Solids, Total 17. Solids, Total Dissolved 18. Solids. Total Volatile 19 Other: 20. Acidity 21. Alkalinity, as CaCO3 22. Bromide 23. Bromate/Chlorate/Chlorite 24. Chloride 25. Cyanide 26. Fluoride 27. Hardness, Total as CaCO3 28. Nitrogen, Ammonia as N 29. Nitrogen, Nitrate as N 30. Nitrogen, Nitrite as N 31. Nitrogen, Total Kjeldahl as N 32. Oil and Grease 33. Phenol 34. Phosphorus. Total as P 35. Phosphorus, Ortho as P 36. Sulfates 37. Surfactants 38. LIV254 -7874 39. Aluminum 40. Antimony 41. Arsenic 42. Barium (43/Beryllium 44. Boron 45. Cadmium 46. Calcium, as CaCO3 (47.Calcium, Ca* 48. Chromium, Total 49. Chromium, Hexavalent 50/ Cobalt 51 Copper Iron 53. Lead 54, Magnesium 55. Manganese 56. Mercury 57) Molybdenum 58. Nickel NYC-WTC_000070609 NYS-ELAP No. 10108 Form A-70 (rev. 1/96)- 1487058 ,Pr6-909,516 Type Descriptor Fax#: Check# Amount$ ORGANIC NONPOTABLE/SOLID ANALYSES 1. Purgeable Halocarbons (624/8260) Purgeable Aromatics (624/8260) 3. Acrolein & Acrylonitrile (624) Phthalates (606/8060) 6. OrganochlorinePesticides (608/8080) PCB's (Arochlors) (608/8080) 7 Herbicides (SM-18/6640; 8151) 8 Other Pesticides (SM-18/6630) 9. Petroleum Hydrocarbon Scan (310-13) 10. Glycols in Water 11. Acid Extractables (625/8270) 12 Base Neutral Extractables (625/8270) 13./GC/MS Unknown Scan T4. Purgeable Halocarbons (DEF) 15. Purgeable Aromatics (DEF) 16. Pesticides (DEF) 17. PCB's (Arochlors) (DEF) Metdo 59. Potassium 60. Selenium 61. Silver 62, Sodium 63. Thallium 64: Vanadium 65. Zinc CLP 66. Metals/CN 67. Volatiles 68, Semi-volatiles 69. Pesticides/PCB's 70. Disk Deliverables TCLP 71. TCLP-Metals 72. TCLP-Pesticides 73. TCLP-Herbicides 74. TCLP-Volatiles 75. TCLP-BNA's

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NYC-WTC_000070609Source: NYC Law Department, mirrored locally

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