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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_000071063
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NYC 9/11 Public Portal Document

Ml ..-.Utoctehecter County . i: -Y i: Time/Date Set: . ' • ■ -> ■ ~ ■- WEStCHESTER'COUNTY CaBORATORIE^AND RESEARCH ■

■ . = 2 Dana RoadAValhill^’'Kiew York'..10595^ : (914)593-5575.3 ■ „, . - ... ■ CsJ A C'^^^-TJ/yS^ELAR No. 10108) > AMI.l'FormA-70~(rev.d?96)Vl

" ;Satpete Typejcircle one): - Y', - -I si. Potable 3. Non-Potable'-Treafed■ ''2~Non-'K'table • 4.' Others Chain' of;Custody^?, ■ yes '"no_ ■Time/Date Collected: .- M tO -■ 'Cnmm,.nts: ...... V.*-f X ~ F . r / t r I Collected By: V ' Agency Code:' ■' ■ _ PWS • ■ '■ Source ID: ' " Type Descriptor: ' L ; .Collected From: r , - /rS Bill to: Ldcation's/lndividual's Name Yi.. '■ 17^; _ Name/Comp'any. •4tU.. R LAD/e)vg _ Street ■ ■ city/st/7iD vALHAttA- 7 Citv/SVZip .' Identification of Source_______________________ :___ Phone#: ' Fax#:, Collection Point, C H I CA,-CH, Bl? Check#: Amounts

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES d-abji: Lab (circli tests) ’ ■ (circle tests) ■ ‘ ' 1. Heterotrophic Plate . 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) , ■ 7 Count (hemodialysis & all others) A Volatile Halocarbons '(524) . 2. .Purgeable Aromatics (624/8260) '- ‘ 2. Coliform P/A (public supplies) ' •Q,ZVqlatile Arornatics (524) \«3. .Acrolein & Acrylonitrile (624) ' ’ Q- 3. Coliform MPN (priv’.weH, raw, stp) 4. Total. Trihaldmethane Potential.(510) , '4.* Phthalates (606/8060);- A Fetal Coliform (all samples) -,’ :5.- MicrpextractabJes^(504): 5; Organ^h7orine>esticides (6Z08/8680)}- I- 5. Microscopic , < .6^e'sticideT(5'0^j " „ ' _ 6.., PCB’s'(Aiochlbrs)'.(608’/80^6) ' -7 .,6.MacroscopiC|; ® . X^esticide's/PCB screen'(508)/ 7.'. Hett)icides'(SI^.18/6640;^51) . ‘Tt • '7. APi ’ SV• PCB' as becach'iorobVplTenyl ’(50^)1 8'.c„6tKer.Pe'sticides''(SI^S-H876630)'' ' ’ , is. other ' "'-'V • ’'^er6.ibi^s'(515)J . 97 , Petfol^m;Hy^^dril^an. 1(310-13)'’ ** ;lS5^sticidesX525)j ' 10^GIycois'in'.Waterl . ... - > - Z ' '■ i/fl> Carbamate ■p'es'ticides'(53’l)' I - Ti) Acid Extractafe(es;(625/827.6) : . > ' 'IRefrigerafed? ■ yes - nd.- R2As^ho^C(53r7ji I^B^sejNeptral.E/dractaWes: (625/8270); T*: Chipnhated?:no’. ii’3dPWat.(549)k . . . f^ASC/M^Unknown Scan,) ; ^14?'Chlorihati6n Di'sinfectio'n Byproducts (551)' lA.'^rg'eablqH^^hbons^DEF)i. ’ Free Chlorine Res:'2 l m'g/L <f5Tfiaio^tic^ids (552)^ . " ” "•S^i^urgeabie 'Aromatics'(DEF)^ ' - . ,.U..’Olher Pesticides (SMj.l 8/6630)’' < 16. Pesticides (DE^ ..Total Chlorine Res:■ mq/L-. .*‘17. Petroleum/Hy'drocarbon Scan (310-13) 37/ PCB's (Arochlors) (DEF). - •. . -‘

i. _eh '--h ZWZtSHZ INORGANIC ANALYSES REQUESTEDYpb#: ‘ .? V- 7/ I? . . i<, ph ■ •ft (circleltests) ’ b •’co'o’’ ' •• - 39.’Aluminuni ., SO.'; Potassium j. "2. -.Turbidity , '2^g^alinity, as CaCOs, ' ’ ntimdny 60. Selenium s'- P*^ 7 'r 41 i.Arsenic,. 61. Silver •' 4. Conductivity * :2^,^^^ni.ate/Chlorat.e/Chlorite,' ' eg^S.q^um, 5. Corrosivity.'(temp':_'__j__ °C) ’'24*;Chioride' H3h]^fylliurn'' • ^3?Jhailium'- ■:6. • BOD (5,ddy) < ' • ' .ligxc^lryde; * V AA.iBoron"* 64. Vanadium,- ‘ 7. “Soluble BOD ---------- (5 day) 2^Elg'nde..... . 45? Cadmium;. 65.'Zinc' ~ ■ - J , 8. Carbonaceous,BOD (5 day)' 274H^ne'ss7Jotal'as;CaCO3’ 4^Calcium; as'CaCOaT CLP ‘ i '9. Chemical OxyOBiWemand’ 28.'yitrqgen/^mmpniaasN- 4^(^um;;Ca:?^'/•...... •66?':Metal^CN; _ ; ^10. DissoIvtaWWS^' ^.t;1itrpg‘eh',;NitraJ^’as;N5 ' 48?;CKrorpium;jtbt'al} - jesZs^U^olatiies ' 1111.TotaJOrganic ISamon’ ^>^ifro^!’Nitnte:aS^N,' 45^^X'$nfiiflm7ib.exa^alSnt' ____ . 2., TotalOrgdnicfHalides' 31^'l;Jitj^en'?fdtaij<j^Kl'as;lsl> '.^^o^l ‘ 13. Sblids/Pe^erit'(%)," dV- Solids,’Settleafile; ’ SSl'Pdenol) ^Z/j/on; :TCLPi”“ f .15.' Sdlids," Suspended- - C’-piTbsMuslTotaPa.^^; , 53S12eadJ J^llJGQRMtalsj £• 1 ’le'^lid^Tot^' ' 35.,piids^Rofu^^.Offh;o*as):^‘ 54^agffesiumj /^TCt^sncic^

I h Splid^«Jotal Oi^lv^j Sulfatbs/' * ■^l^ang'kndqel t7>-TpLWer^ej:i ft^^lia>xxS^oiSile5^• 374 Su,rfactajts;. 562.Mercur^ 38^aV254v > .(^djyddedumi |75>TCC6-BMS) K________________ • " .'"I .'... 2; NYC-WTC_000071063

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NYC-WTC_000071063Source: NYC Law Department, mirrored locally

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