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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

?.L,- 77.^ >-• VY. ■'7- , J .ENVIRONMENTAL SERVICES SAMPLE'SUBMIS&ON FORM? A P

IM y. . Uleithesta- Countv

T. ''Time/Date Set: WESTCHESTER COUNTY LABORATORIES ANb'RESEA'RCH ’

>' ' '2 Daria Road, Valhalla,.New York 10595 y -'. (914)593-5575 ■ ' . J * . .

. NYS-ELAP No. 10108 . Form A-70 (rev. 1/96) K

.Sample Type (circle one)> ■■ 3. Non-Potable Treated /2.' Non-Potable 4. Other; _ ' Chain of Custody? .yes no; Time/Date Collected;. .0950 U-20-o I Comments: Collected Bv: L- Agency Code: _ ' PWS __________ ’ Source ID: Type Descriptor: ■ Collected From: Bill to: Lbcation's/lndividual’s Name OCP Name/Company Street • Wc .7Lz-f "b< . wC - Street_____________ Citv/SVZip . iOS 9 ST City/SVZip Identification of Source___________________________ Phone#: ______ Fax #: ■Collection Point KT / ■i j . I CA. CH. Bl?. Check#: Amounts,

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES lab#:-'. - ' ■ • ' Lab #:__________________ .(circle'tests) . (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260), ; Count (hemodialysis & all others) ■ 72* Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) ; Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) - .3. Coliforrh MPN (priv well, raw. stp) ■ -4. Total Trihalomethane Potential (5i0) ... .4.Phthalates (606/8060) 3. Fecal Coliform (all samples) . 5. Micrdejdractables (504) 5?. Organochlorine Pesticides (608/8080) ■ 5. Microscopic Pesticides (507) ' . ' ‘ 6. ' PCB's (Arochlors) (608/8080) . . ‘6.,Macroscopic Pesticides/PCB screen (508) 7.’ -Herbicides (SM-18/6640; 8151) 7. API ■ . . ,8. PCB as Decachlorobiphenyl (508A). .8. Other Pesticides (SM:18/6630) ■ ■< • 1: ’g^Herbicides (515) ' ' 9. - Petro)eum'Hydrocarboh Scan (310-13) ' ' ■8. CXher:.1 '^/Pesticides (525) .. " ‘lO./Glycols in Water' " Refrigerated? ves Ino I / rk Carbamate Pesticides (531) 11. Acid Extractabies (625/8270) ,'.12. Glyphosate (547) ' 12...Base Neutral Extractabies (625/8270) ■ Chidnnated?: yes no .-'13. .Diquat (549) ' . { yjyGC/MS Unkndwn Scan 4. Chlorination Disinfection Byproducts (551) ' 14. Purgeable Halocarbons.(DEF) Free Chlorine Res; mg/L; fl5. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) .7 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: ' mg/U< ■^17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB's (Arochlors) (DEF)

~ ZOZ^^VE5SZ~ZZZ^ZZZZZZl2A]t^^ZZZZIZZZZZZ / --7 / S • INORGANIC ANALYSESREQUEST£D|Lab#: X 7 y( ~ (circle tests) . " . 1. ; Color ■ 7*'. - - - -. 39. Aluminum 59. Potassium 2. Turbidity ■ - 2h-^lkalinity, as CaCOa @) Antimony 60. Selenium 3. pH ■ , '2^- Bromide ■ 41. Arsenic' 61. Silver 4. Conductivity '’2^.-Bf’dmate/Chlorate/Chlorite Barium ■eg. Sodium . 5. Corrosivity (temp: ' “C) ■'2’^; CKl'oride <0 Beryllium Thallium 6." BOD (5-day) .. 25. Cyanide 44. Boron ' 64. Vanadium 7. .-Soluble BOD (5 day) . 26.'Fluoride ■ ■ . .45. Cadmium .65. Zinc 8. Carbonaceous BOD, (5 day) 27.‘Hardfiess, Total as CaCOs . 4_6. Calciurp, as CaCOs 9., '.Chemical Oxygen Demand , 28. Nitrogen, Ammonia as N ’ 47.,Calcium, Ca'^7 .~ ~ • '66. Metals/CN ’'10.'.Dissolved Oxygen '29. Nitrogen, Nitrate as N 48'. Chromiunn, Total • 67. Volatiles - 1.7Total Organic Carbon,' 30.'Nitrogen, Nitrite'’as N 4^_Ch'romium, Hexavalent.? . [ 68.‘Semi-volatiles ■ 12; TotaLOtgahic Halides ' 31 .^Nitrogen, Jotal.Kjeldahl as N. gffl.Cobalt ’ ■ ’ '69.iRes*ticides/pCB's, .• 13? Solids, J’ercent (%)/ ®P10£ea-se; 51? Copper ■70. bisi< PdlweraBl^ 7 . 14r Solicis,'Settleable: .'.Is'- SolidJ. Suspended, ;33.',Phenb!,’ ' . - ©Iron-" JCLPj 7“ ’ - SVPhosphorus.'Total'asPl 'T^CTCC^Metals, d6?Solids7T3taP ' S^sPhosphoru^^rthp'as'^ • • I^TCL^Pesticid^ . 54,’ Ma'gnesiurn?' .175Sblids7otai,Dis^^,» , ’ @).Mangahes^.. * ■; ;73pT^P-Herbicides.

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NYC-WTC_000070965

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NYC-WTC_000070965Source: NYC Law Department, mirrored locally

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