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Document / 4 pages

Chain of custody record, Westchester County Lab, Nov 2001

Machine-extracted title · confidence 95%

Form documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000071022–000071025

Folder label: “28325

Page image
Scanned page image, NYC-WTC_000071023
OCR text

OCR status: ok · source: pdftotext

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EXvmONMENTALLS/ER^'ES'SA^ V ^■'111'' ft ; ujistt^.oounty.‘ - ■" ' • WEstcHE^EKcquNTy^

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NYS-ELAR No. ,10108^-, Form A-70 (rev.7l/96)-a. ) . Time/D^e Setbft^ •- • s. ’ \ J

ft , 3. Non:Potable Treated Bottle-fts: Chain^ot C*ust5dy?^ .^ves;-a - no 5

—- 'Commentsfc^;^-------- -------------------- -- —: : >CoHectedBy:Z^ ■ .. - .Agency.Code:^_ _ PWS'#: ______ ^Source ID’:Type Descriptor: . 'BHI'to: • Y CoJIected Cocatipn ’ From: p 1/ s/lndMdual'sName_/JV_^^^_/^^^^^ ■■ Name/Company_ I Street. 64 Dej '/'•t 6 -Street _ city/svzift Aj y _ . City/St/Zip Identification of Source_____ ' ____ _ Phone#: _Fax #:_ -Coilecti'on Point.' . . I CA. CH, Bl?. Check#:__________ Amounts.

• ............. , , ______ ^BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab. ft fc ■Lab#:. •) _____ J___ (cirr.le tests) '. 1. Trihalometbanes'(524). ■ 1, Purgeable Halocarbons (624/8260)- ., t- 1 r l^eterptroph’lc Plate ' ‘Count (hemodialysis & all others) Volahie Halocarbons (524)ft ^^Sy.Volahle Aromatics'(524)^ . - 2. Purge^able Aromatics (624/8260) . 3.' Adfoleih & Acrylonitrile (624) (2. (^lifo’mntP/A (public supplies) ■<3. GoJifot:m:Mf?fQJ(P/iY well.,raw, stp)^ U.‘ TotaXjriiialdmethan^^olabtial (5i 6)' ‘4.- P^tRalates (606/8060) ' ' • t >- f," 15} Microe^a^aBfesTsoi)! s’? ’'Organbch'lorine" Pesticides'(668/8080) • 4; gecal Coliform'(all samples)', (pesticides, (507)y .. 6. ' PCB's (Arochlors) (608/8080) ■. .»5XMicroscop)c_. ; /?c**P(3Slicides/PjCBscree;nY508)ji ■ .7., Herbicides (S'M-J 8/664'0: 8151)- • ’ H' .'?’!^,^Xosc6j5lc> ;8\ PCB>s’Decachloro&pheriyl.'(508'A) , .8,. Qthft Pesticides (SMji'^6'630)^ ' '’ Sft API ’ " ’ . ' , .:<Oth-<r:^ ■ ,-L. .. ■ 4....,^ ■- ;'^Herbicide^(515')) ' ’ ' 9.- Petroteurh rtydro'carbpn’Scan (310-13) *^•7 , i •?' • ■J^^Mcid^(525);.- '10? Glyco Is in Water' " '1?*/': >« . i9i^afed7»ii2-y,es_^noi, ft ■/1 l^arbamale' Pesticide^ (531)') ' 11.,AcidE>Sractablks (625/8270) . i ij i ' ■ V , il^(^y^l^ft(547^ .ft(t3?PXquat(5M.. “'ft ji. Base:Neutral E)dractables)(625/8270) i^. GC/MS Unknown Scan. __ ' ' < • . ^14. Chlorinahpn'pisinfection'.Byprqducts (551) - 14.-Purgeable Halocarbons (DEQ iFre^..:ChlorlaojRes:__Y_;___ mg/LI L|5.‘Haloacetic^ids;(552)'’ . 15; Purgeable Aromatics (DEF)', ’ J ■;i ft OtherPesticidey(SM-18/663b); ' . 16. Pesticides (DEF) ,c. i TpfaiZCfi iorlneiRes; mg/L-.X' 5-17. Petroleum/HydrpcarbWSc^^(3lb-.13) 17. PCB’s (Arochlors) (DEF)'

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NYC-WTC_000071023Source: NYC Law Department, mirrored locally

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Document tracking the chain of custody for samples submitted to the Westchester County Department of Labs & Research.

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