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Chain of custody record, Westchester County Lab, Nov 2001

Machine-extracted title · confidence 90%

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

NYC-WTC_000070918–000070927

Folder label: “28855

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Scanned page image, NYC-WTC_000070926
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NYC 9/11 Public Portal Document

HI ENVlRONMENtAbSERVlgE^!^^^ FORM} ’. WESTCHESTERSqiSlf<’AK0?^^ RESEARCH ' ■ : ■ . 2Danaflbjfd?VajRalla^^^ -v Utestr^ocx^. . NYS;EL'A5.No'ldl08 '(^^lei/Date Set:- ,: Forrn A-70 (rev.’.1/96);, Sami^e Jype (circie one): ' i: .Potable ;'' ■ / ’• 3. Non-Potable fre'ate'd ^ ^..,< - p j>l"> 6) m: ■ 2. N^;l?otable;> 4.’Other Chain'of ‘Custody? _2 .yes no ' fime^bte Collected: Comments:- i 'collected ' f ' Age ncy Code PWS#:' - - • Source ID:—Type Descriptor:. Collected From: - Location’s/lndividuars Name • • Name/Company. Street’.. ■ • - ■ ■' - i;/- • L’Street ■ '

•CityjSVZip ^^ " City/SVZip Identification of Source -^2———j-;—Phone#:' ' ■ Fax #: '

.'Collection'Poirit■ ' ' Check#:, Amounts,

BACTERIOLOGICAL ANALYSES; " ^ORGANICiRQIABLE-ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES . Lab#:; t ‘i'- ; Y.; ' (drcle'tesis) 1 J }l .-’Heterotrophic .Plate . ’ (■’’ 1: Pxlfgeable Halocarbon's (624/8260) , ■’;'cbbnt theTni^^isi/all’other^,’ . ■:2.; -PurgeaBle Aromatics (624/8260) .2..Colifbrni P/A.(0UDlic sup^^^^^ • , I ‘{3.’ V6lat«6ma7ics:{52'4)} 3j Acrolein &'Acrylonitrile (624)' . 3? Co!ifprrn'MPN.(priv.vyell /iaw;> s_tp)> J 4^ ’ ••4/ ghthalate.s (606/8060)./ ;4/l}ecal Coliform'l'all sa^mples). - ' ", 5? Organbchlorine Pesticides"(608/8080) ' .5;.Micfqscppic1< M^icitospf _ '■ 6^ RGBX(’Arc^hlors) (6687808^^^^^^^^ , 7? Herbicides,(SM/18/6640;'.8151), . / .

?«BW* 6-'Mac^6sc6g(^-.’ 8? G>tHeriResticides1SM>18/6630)£ ' ; .RefrdliumHydro.c^rbb.n\^can'(31.b,13). ' IO; Giycbl^ihiWatet; ;/{ > f Refrigerated^ uves* : not * |l?lV(>ar^ateS^sticidbs^5^0W^''- ' .I;!-. )^idiEx{factabiesl(62^82yO))_ U !2/Bas^"Neutra!Xxtract^^(625/8270)) /1 ‘ ' i ‘ ' ■Cht6rinatqd?;-i. - ■ vesv.... ..nSl 1,3.^GC/MS;'Unk’riown Sdan; '” ' ’ * i **’ ’ 1^^^^a!^ar6Sn^(DE£); , F/eejCKlorinelRes}:^^ ' 15; Purgeable;A_rpmatics (DEF); t j6v<^rtpt^ici^(si;Ht8»)i j; _ . 1.6JP^jcic^^(DEFj} _ I 17-; Petr6jeu1=n®^ar^,^'gnj^^^ 17i*PCB’s (Arochlors) (DEF), Total ChSorine'iRes:. * - mg/L. • ) ' s’. INORGANIC ANALYSESflEduES-fED}-1^^^ (eircfe tests) ■ 1. Color, ■ 20;,Aci,dityJ 39,,Alumlhufn, 59.. Potassium, - '2-. 'Turbidity Z1? AlkalinityXaSiGaCOsV 40.VAhtimony 60;'Selenium ’ ' ' •3.. pH/ .' \ - ■fe'erofnidS ' 4T;,‘A'rs'enic ’ ■ . ' 61'.. Silver/ 4';/. Conductivity. . . 23/BTomate4Chlgrate/C’h'ldrite; ' ;'^2'.,Barium. . -. 62.;^iiini. .. -O '•* 5. Corrdsivit/(temp:_. °C)', 2X.'^C^Ibri^^ 4’3? Beryllium ■. ■ 63? Thallium - 6'. 'BCD (5 day), " • • i25} C>}an'ide'' - ' . 44; Boron ’ 64; Vanadium'; •*c CS 7. Soluble BQD'tS day) 26.'iEludride , ' .45: Cadmium 65'. Zing ‘i

8' Carbonaceous BOD JS day)’ ^:Ha!an^.Tpt^JCaC^ Ugi^ciu^ as. CaCOa . >9X Chemic'a'l Oj^geii Demand'.. 28?!NitFqg^5T,AmmoKia'a^.;- 47#-^lciJm?.cX*?-' ■ '66.'Metals/CN,! , .’lO.'Pissb!ved.O,^gen .29;'l^itrogen};Nit’rate:as,Nj 48.- Chromium ,}Total 3 ;67. Volatiles} | - .: • 1.1 .-Total .Organic Carbon . •-. /},2;TotaLd}rganic'Hal;^s.-' 1^.S^ids,P^nt>(%); A€^1jd^.^tti|a6le') -3’0; Nrtrogen7Nit'riie>as.,N i. ‘ ■SI/NiffefelotXrKjeldahta'sy Ag.'fCliromium} Hexavalent - 50VCp£<l' V’-'"' ■' 68ASemhVolatil^

>ICLPz' I , , ^'■'Sp.nds.'iS.ust^b.d’edj - 2^’'eiTbspfibr:us; totaliasj^? . p^spMjbtSy. 35tRh?^fiorijsf drtRp?a^B> 54; M’agnesiumj /. , 1,7- Splids, TofaVpissOlve^ <Sui!ates) ’

MBS ' ;ilg7,^iids;Tptat.\®i^le’ 3^ Suriafetajits;, ; ji.9\Qtbet:. ’ 38;.i'IV^, / ; 1

NYC-WTC_000070926

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NYC-WTC_000070926Source: NYC Law Department, mirrored locally

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