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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_000070961–000070965

Folder label: “28468

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NYC 9/11 Public Portal Document ENVIRONMENTAL SERVICES SAMPLĘ SUBMISSIÖN FÖRM N0/20. P 147 WESTCHESTER CÕUNTY LABÖRATORIES AND RESEARCH •2 Dana Road, Valhalla; New York 10595 aster County (914) 593-5575 NYS-ELAP No. 10108 ime/Date Set: Form A-70 (rev. 1/96) Sample Type (circle one): Pi07880876612 C0552 1":Potable 3. Non-Potable Treated Botle, #'s: 0913 0917,98043, K8929 2: Non-Potable 4. Other, Chain of Custody? _yes_ _no K8I30, K893! Time/Date Collected: 00|4 11•20.01 Comments: Collected By: DiScOTT Agency Code: PW$#: Source ID: : -Type Descriptor: Collected From: Bill to: Location's/individua's Name_NYC• DEP Name/Company Street 19 West LAKE Drve Street: City/St/Zip. VALHALLA NY 10545 City/St/Zip Identification of Source Phone#: Fax #: Collection Point DELId CA, CH, BI? Check#: Amount$ BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID 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. AP: 8Other: Refrigerated? _yes- Chiornated?: yes Free Chiorine Res: Total Chlorine Res: _no :nõ _mg/L mg/l Lab #: (circle tests) Trihalomethanes (524) Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) 5. Microextractables (504) Pesticides (507) Pesticides/P,CB screen (508) 8. PCB as Decachlorobiphenyl (508A) /-Herbicides (515) Pésticides" (525) Carbämate 'Pesticides (531) 1: 12. Glyphosate (547) 13. Diquat (549) 14: Chloriñation Disinfection Byproducts (551) -15. Haloacetic Acids (552) 16. Othër Pesticides (SM-18/6630) 1.7..Petroleum/Hydrocarbon Scan (310-13) 1. 2. Purgeable Halocarbons (624/8260). Purgeable Aromatics (624/8260) Acrolein & Acrylonitrile (624) 4. Phthalates (606/8060) 5 Organochlorine Pesticides (608/8080) 6 7 PCB's (Arochlors) (608/8080) Herbicides (SM-18/6640; 8151) 8. Other Pesticides (SM-18/6630) 9. Petroleum Hydrocarbon Scan (310-13) :10.: Giycols in Water 11. Acid Extractables (625/8270) 12, Base Neutral Extractables (625/8270) 13./GC/MS Unknown Scan 14. Purgeable Halocarbons (DEF) 15. Purgeable Aromațics (DEF) 16. Pesticides (DEF) 17. PCB's (Arochlors) (DEF) INORGANIC ANALYSES REQUESTED *Lab#: (circle tests) Color .Turbidity 3. pH• .4. Conductivity 5:• Corrosivity (temp:. C) •BOD.(5 dạy) . 7::Soluble BOD (5 day) r Chemical Oxygen Demanid. •10. Dissolved Oxygen 11: Totạl Organic Carbon 12. Totãl, Organic Halides i3:Sólids; Percent (%) ;14 Solids. Settleable. „5.,Solias, Suspended, $16. Solids, Total; "17: Solids: Total Dissolved 18, Solids: Tojal Volatile Other: Acidity • Alkalinity, as CaCO3 :Bromide .Bromate/Chlorate/Chlorite Chloride Cyanide 26. Fluoride 27. Hardness, Total as CaCOa 28. Nitrogen, Ammonia asN 29 Nitrogen, Nitrate as N 302 Nitrogen; Nitrite as N 31: Nitrogen, Total Kjeldahl as N? 32 Oil'and Grease 33 Pheno!] 341 Phosphorus Total as P 35*PhosphorusOrthoras P 36. Sülfates! 3Z/ Surtactants 38LLIV254; 7846 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 4 51. Coppeї 52-rön' malds 54 Magnesium: B.Manganese, 56: Mercury, 574Molýbdenum: 58: Nickell 59. Potassium 60. Selenium 61. Silver 62. Sodium (63)Thallium 64. Vanadium 65. Zinc CLP 66. Metäls/CN 67. Volatiles'" 68. Semi-volatiles 69. Pesticides/PCB's 70. Disk Deliverables TCLP 7.1 TCLP Metals" 172: TCLP-Pesticides 73 TCLP-Herbicides 74: TCLP-Volatilês! 75JTCLP-BNA'Ş) NYC-WTC_000070964

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NYC-WTC_000070964Source: NYC Law Department, mirrored locally

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