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Chain of custody record, Westchester County Lab, Nov 2001

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Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.

NYC-WTC_000070845–000070854

Folder label: “28692

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NYC 9/11 Public Portal Document

H ilWjf ENVIRONMENTAL'SERVICES SAMPLE SUBMIT A Q' • ■■■ , WESTCHESTER COUNTY LABORATORIES AND'rESEARCH Z ■/■. .UJI’ 2Dana’Road, Valhalla, New .York 10595- ' .F '■ t ’ • '/ ' • (91,4)5^3-5575. NYS-ELAP No. 10T'^ ime/Date Set? -■ - •- ... ■ ' Form A-70 (rev. 1/96;/■ Sample Type (circle one): (^Potable 3. Non-Potabie Treated - ' Bottle #’s^ 3f P if '

' 2. Non-Potable 4. Other . Chain of Custody? '' ves no". Time/Da'te Collected: ti- a t Comments:;; Collected Bv:^ .Agency Code: PWS #:_______ Source ID: Type Descriptor:. Collected From: Bill to: Location’s/lndividual's Name^iHG Name/Company. Street H P GJ V £ Street________ City/SVZiplLlLZil!£llGj_J^sM__J^//^^ City/St/Zip Identification of Source_________ __ ____________ Phone#: ___ Fax#:. Collection Point, ' tflG> GG-HI I CA. CH. Bl? Check#: Amounts.

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:________________ Lab #:___________________ (circle tests) (circle tests) 1. Heterotrophic Plate • Gv Trihalomethanes (524) 1. .Purgeable Halocarbons (624/8260). Count (hemodialysis & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) ..37 Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) ?■ 4. Phthalates (606/8060)' 4. Fecal Coliform (all'samples) ' ' ■ 5. Microextractables (504)' : v ’ 5.'- Organochlorine Pesticides (608/8080) 5. Microscopic 6. Pesticides (507) 6. PCBJs (Arochlors) (608/8080) 6. Macroscopic 7. .Pesticides/PCB screen (508) 7.; Herbicides;(SM;18/6640; 81.51) = 17. API •8. PCB as Decachlorobiphenyl (508A) ‘9.. Herbicides (515) 8.? (^her^PesticidesJSM^I 8/6630) ; .9? • -Petroleum riydfocarBon Sca'n'(310-13) G Refrigerated? — yes no 1 110. 'Pesticides (525) il 1. Carbamate Pesticides (531) • 10. Glycols Tn Water 11'. Acid Extractabtes-(625/8270) - ^12. Glyphosate (547) 12_^ase NeutrarE)rtracta.ble"s■(625/8270); 1 (Ts. GC/MS'Unknown Scan Chlorinated?: ’ .yes ho t13. Diquat (549) ') r4tPurgeable Halocarbons (DE/)'., ;14. Chlorination Disirifection Byproducts (551) . Free ChJorine Res:. .mg/L .15. t-)aloacetic Acids (552) 15. Purgeable Aromatics (DEF) ' 16.’ Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: mg/L /17., Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF).

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INORGANIC ANALYSES REQUESt|piiLab#: (circle tests) 1. Color ■ ■ 39. Aluminum Potassium 2. ..-Turbidity WAtaify. as CaCOa . >■; . Antimony , 60. Selenium 3.' pH . '^.Br^ide ' ; , 41. Arsenic 61. Silver 4. Conductivity . j» j?23?Bromate/Chlorate/Chlorite . Banum- 62. Sodium 5. Corrosivity (temp: IC) '♦’SlB'cloride ' . (4^Beryllium ^^^Thajlium” 6. ; BOD (5 44. B oro ri . pj Vanadium - day) .. .1.7. Soluble BOD (5 day) ,26. Fluoride ■■ 45. Cadmium' 65. Zinc , ■ ' .8. Carbonaceous BODJS day): 27.-Hardness, Total^as CaCOs’ 46. Calcium, as CaCOa. CLP " , ' 9. Chemical Oxygeri b'eman'd . ,2J.'Nitfdgeri; Ammonia as N ” ■ 47;‘Calcium', i66.^Metals/CN 10/.pis'splyed Oxygen'- 29? Nitrogen, Nitrate as N 48. Chromiuni,-,Total.< i67.^ Volatiles;. , IT. jotalOrganic?^Carbon: ^ij^tro'geii. Nitrite as N, 49'Ch’rorriiurti, Hexavalent; (eSrSerni-volatiles' /. 'l^/TbtalCJfganicLHalides ’SJ^Rrtrogen;/Total Kjeldahl as N |6^.^>ticide^RCffs?. V ISiSolids? Percent (%’)*’ 32.’oil 'and Grease l^^Co^er '7O.'Disl<C)eliv’erables aSVpiiendl TCL&. ’ ' G .^GSolidsl§us'gendedi ‘ ' ;,^.^phbspfip.rusJ,Tpta!;as;P^ 53.-Lead^ l^llTCLg^etaJs., :i6<Sc^s/;^taP.. ‘s^.^hosphorusrO.rthoas. j^vJ^gnesium" XCL^-PesUddesj I'W'^QWsi/Total.Diss.olwd. 36>Sujfates> Manganese: ?73?JCU^AerBSci(le^- flfeSolidsi.TojalXolatil^ ’ ^/■.Surfactahtsj , ^^Me.rcufy, - [?ALT&P-Volahles; ! '75^.TCrR?BNAls,. OGzbzLL. ^Liy25Jj ^MpJyBberiu'mi .. .^Nidk'di.:

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NYC-WTC_000070851Source: NYC Law Department, mirrored locally

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NYC-WTC_000070918 · Box DEP Box 61

Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.

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