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Chain of custody record, Westchester County Labs, Nov 2001

Machine-extracted title · confidence 90%

Chain of custody documentation for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000070821–000070829

Folder label: “28688

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NYC 9/11 Public Portal Document 23 Al:42 ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 Westchester County (914) 593-5575 ne/Date Set: Sample Type (circle one): (1..Potable 3. Non-PotableTreated 2. Non-Potable 4. Other_ Time/Date Collected: Collected By: Lab Collected From: Location's/Individual's Name Mzzler Agency Code: Nelvi Field Blank Street City/StZip dentification of Source Collection Point 10-1/22 Bottle #'s: P1143,Q652 Chain of Custody? yes no Comments:_ PWS#: Source ID:_ Bill to: Name/Company Street City/St/Zip Phone#: Fax #: CA, CH, BI? Check# NYS-ELAP No. 101( Form A-70 (rev. 1/96) Type Descriptor: Amount$ BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Labl: (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 * АР: Other. Refrigerated? yes Chlorinated?: Lyes no Free Chiorine Res: mg/L Total Chlorine Res:_ mg/L Lab #: (circle tests) 1. Trihalomethanes (524) 2. Volatile Halocarbons (524) 3. Volatile Aromatics (524) 4. Total Trihalomethane Potential (510) 5. Microextractables (504) 6 Pesticides (507) 7. Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyl (508A) 9. 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) 1. Purgeable Halocarbons (624/8260) 2 Purgeable Aromatics (624/8260) 3 Acrolein & Acrylonitrile (624) 4. Phthalates (606/8060) Organochlorine Pesticides (608/8080) 6. 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 14. Purgeable Halocarbons (DEF) 15. Purgeable Aromatics (DEF) 16. Pesticides (DEF) 17. PCB's (Arochlors) (DEF) прH INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) Color Turbidity pH Conductivity Corrosivity (temp: °C) BOD (5 day) Soluble BOD (5 day) Carbonaceous BOD (5 day) Chemical Oxygen Demand Dissolved Oxygen Total Organic Carbon otal Organic Halides Solids, Percent (%%) blids, Settieable Sbllds, Suspended Mlids, Total Bllds, Total Dissolved Blids, Total Volatile JHer: 20. Acidity 21. Alkalinity, as CaCO3 22. Bromide 23. Bromate/Chlorate/Chlorite 24. Chloride 25. Cyanide 26. Fluoride 27. Hardness, Total as CaCO, 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. UV254 39. Aluminum 40. Antimony 41. Arsenic 42. Barium 43. Beryllium 44. Boron 45. Cadmium 46. Calcium, as CaCOs 47. Calcium, Ca*? 48. Chromium, Total 49. Chromium, Hexavalent 50. Cobalt 51. Copper 52. Iron 53. Lead 54. Magnesium 55. Manganese 56. Mercury 57. Molybdenum 58. Nickel 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 NYC-WTC_000070828

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NYC-WTC_000070828Source: NYC Law Department, mirrored locally

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