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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_000071060–000071063

Folder label: “28322

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Scanned page image, NYC-WTC_000071062
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NYC 9/11 Public Portal Document ’ •-. *!

, ■ ENyiRONMElZrALsERyrCESgAMpL^B^^^ 1’

gii-' tUertcho^ Ccx**/, *.2 /Jime/Date Set: ; WESTCH-ESta'CoWT/IW^^

' ■ ■ ■■'-■■■ 2 Dana RoaT1,'ValhWa> New2?6rk* 10595^^ - ‘•(911)^9^5575.. . . ■ r ■ / 7..-7,.--, • •<■.. ?' ••. NyS^P.No.'X01^''*;- . A^0‘(rev;t1/96)>.h;;i. * H ‘s^pjeType‘(circle'one):' • ■ . » . fdr O b < Pt01.././r.CsXcJOO'‘'. . 3.' -Ndh-Potable .Treated . QM-jgfew; KfeoSOi; ■ 2.>Non-Potable .. 4.5Otherl_^ ______ Lr__ :^"Chain of Custd'dv/-: ' -yes. —’ ■ no" > Vrirne/bate *Cdllected:r_<^35Sk Comments: ,4. _______ XL..'* ______ - /. Collected By: ’SCOTT; Agency^.Code:'' ' . PWS • ■ ' -Source ID: • ' - Type Descriptor:^J: ; Collected Frotn: ’’ ■ - 0 Bill to: ' . •t Qcation's/lndividuars Name • NtC.* L/£ .r Name/Conipanv ■" . ’ ' ■____ '■ ‘ :'•■■■' ■ ... .-. ' Street! - - /A OATT • Street_______ _____J___________ iL____________ City/St/Z?D~ 'VAMlfil^d : Citv/SVZiD ' : ' ' ' ' > • ■ ■2,,

■T Identification of Source • _______ _ _____________________ Phone#: • iFax#: ■ ‘ • .. Collection Point C / P> .. . ■ | CA, CH. ,BI? Check#:'' Amou nt $ ’7

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ~ ' * ORGANIC NONPOTABLE/SOLiD ANALYSES Lab/t:k„_l^__—________ ■ Lab ' ■' • -A /(dr^lei^s) ■ ' , , , ■ C". .- (circle tests). ' \ ' r ^^Pu'rgeable Halocarbons (624/8260) , .1.'Heterotrophic Plate;,.. 1, Trihalomethanes (524). • , ■ ■ .Counf'(hern6dialysis & all others) /TYyolatile Halocar'bbns (524) ' 2.- • Purgeable'A'romatics (624/8260)’ . ( ,"2.’Coliform P/A (publjc supplies) ' Volatile Aromatics (524) .. ‘3. . Acrolein's Acrylonitrile (624); ■i, 53. Coliform■MPNJpriv.welL raw,' stp) ;4?;.T6t.aitrihajomet.hane,PotentialX510) • ' ■ ( 4? Phthalates (6(W/8060)_. • •; -,/• *4^6031 Colif6rm'.(ai,l s’amples) .’f; '5; .'Micfoextractables (504) Vs.'- Or9anochlorin^F’estiadesJ6d8/8680) 5.;^icrqscopic ■ >\ 7, JS Pesticide’s (5077 ' ' 7 \6'7-PCB’'s:(A7(khlors)7^87868^^ 7‘ 16i Macroscopic W .. Jg^sticfepCB wreeV(5p8) . - • \ l^bi<^^(^18^4p;..8151b . \ T- PCB aspecach'lpiigbiphen^^^^^ •' 8\pther P^7icides;.(SM-'18/6630) . •;-7 S.t.^hef ■ - 11. A-_______ / 4-9; Herbici^^';(515), .g?' Petrqreum.yydrocarbph;Sc (310-13) T ^<>esticides’(525)" 7 - ■ - lO.'GJycolsJn Water'. r ' .' <Refrlg^rafed?'’yesl no'- T; C?ri?a'mate:P'estidides’(5'31)\ „ 11rAcid.^7acta6les:(625/8276) - h2:i’Giyphdsatd’(547)y ’ - " < ' 1^Ba^Il^eut^:Extractables (625/8270): ■ ' ,,Chlorinated'’' _ _ ^no7- „ iTsJ Diquat; (549)^ " ’ ’’,7 j(^.GC^S;Unkri0wmScan7 •j, |i74? CfflprinatiOr^bisinf^'ipn-IByp/o^^ )) 14;. Purgea6l?'yalfearbons.(DEF), 'iPre'^;CKl6rine;Res:£ ■:~^nig/L p • i 5. HaldacetS74cIdX(552)7 " ■ 7' ISJ Rurge^le Arpniatics'(DEF)’ 76.pther.'F^^idd^'(SM/i8/663b); 7 1^>^icide^',(DEFjy " .Total, Chlorine'.Res:' <mg/L \ ! »,17. PetroleurryHydrocarbon'Scari (310;13) / 17. PCBls^(Arochlors) (DEF);,

■PHU V „ ,. Vf „/)- t; INORGANIC ANALYSES REQUEltEPWab#: T? C' 9 O TX. ' • ’(circiete^s) . 1 7 ,' ' r 1.. Color-; ■ . .'gO^A^dity 7 . 39.'Aluminum' 2., Xprbidity ' ‘' /;i^;^felinity, as CaCOp . ' (g^ntimony OO.-Selenium «’r^' /' ■ ■3 ’ pP ■ . '7'2^|B^mide • ’ " ' 41,-.'Arsenic. .6,1? Silver■<“ ’ .4/rCondu^ity .. ^g^' Bj-omate/Chlorat'e/Chlm^ 42. Barium' ' e^Sodiurri V . - .... 5'; ■Cdrfosiv'it'y (temp: ■ - °C1 ,24‘.'Chloride ' ’> • • . (^3^eryllium - {^i^hallium 1 ji- B®b;(5jday)) .•.'7-■ ' . ^25:',Cyanide- ' • p’ ’ ' ^^fBofon*. 64. Va^nadiuml " 7: .s8lMBi>DJ^ayj3 , 26’FJuoride .. , ' 45. Cadmium-' m eS.’Zinc 1, ■8; Carbonacedus BPb.(5,day)'.- 27.'Hardness;Total'as CaCOj CLP '9.V Gfi'emical 6jy'gen;Demand 28. Nitrogen>Arnrn6hia.asN?' 47?.Calciu'r^,Ca:^ 166,- lOletal^CNi ‘i '^lO.jPissoJy.edpxyg'en' ' 29; Nitrogen,^Nitrate:as^N; ■481 CKrqmium.Xotat ;^cV^atile^ i ao.:li^jtro^/Nifntg^:- ;.p#<4firo%umie!e^ 1,1'..Tdtal.Orgajiic Carbon. Njt^gen ,rNitritj^asTq, _. .>Nitrdgeii,5Tot'ai,l<jeldahl,.as'N:' (WCob”^ \ ■nt; jSSSgsSs 170: Distc'Derwerabrest. J: 'Z t<SQl3s;.;S^^le^ SSTPhTnoP CS^ron'? ■ i^CLP^ ----------------- ' UShSglidsiSig^d^' ,34)til?hMp;hor,us; T6Tat;^s,,.p; 7/irTC(;^-Met&s^ ^>.gKpsDlw^it<&th.®d’SJ©* 547 ^gnesium^ }^TCgv:ftstici^ ■ 36TSulfat^> ■ " ©^an^ganes^t ?7.?M^tadt5> ^Me!5!.ury^ •73>TiGCe'-Ber6ici3esy 4 Jb ... 38/IW254) {^Molybdenurri,; S' Jr.,,.M .t .

NYC-WTC_000071062

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NYC-WTC_000071062Source: NYC Law Department, mirrored locally

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