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Document / 4 pages

Chain of custody record, Westchester County Labs

Machine-extracted title · confidence 85%

Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000071161–000071164

Folder label: “26846

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Scanned page image, NYC-WTC_000071162
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NYC 9/11 Public Portal Document

AAA ENVIRONMENTAL SERVICES SAMPLE SUBMISS|6n F^rLi J ■■■ WESTCHESTER COUNTY LABORATORIES AND RESEARCH / ,-' 2 Dana Road, Valhalla, New York 10595 ‘ jjj||d«s«eftajr«ic’- ; . (914) 593-5575, / 7 Y 7 7. 7- 7 w|,'e/c^;s5tf2;A72777—

j^dtable ’yY;;;; 3. Non-Potable Treated Bottle#’s:7_L_7Y7i777177_J._J_____L___gj7i7' d 7NonXPrtable '77 (4^7^ ; ; Chain of Custody?yes no - Time/Date Collected: ' f___________ Comments:( Collected Ry: 7 “v Agency Code; PWS #; A /Source ID: 7 x Type Descriptor: \

'7 Bill to: •■ ' '’'777'7" 7-777'77.7 7' Lddation’s/lndividual’s Name Nt 7..t>'V y Name/Comoanv ' • '• _____ __ |treet_7jM^h>eL^ Street_ f- -rity/«=if/7ip7.'-7.V4^g^^^7 City/St/Zip. ______

7Antiflcation of Source ____ __,____ x,___----------- Phone#:^ . ■ ’ Fax #:,/' y ■ ; . : ' Ixcdllectipn Point ■’’ . ■ •■ I CA, CH, Bl?_ ’ ___^ Check#:_ • Atttount$ .7?77r'7.»:.x7.r‘' Y- Y .X : A ■ ; '', ,; . ■_ 'Yf-Y'. '7;:; ;/777/7^7..; /B/^CTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES XB- Lab ......, // (circle iMts) / 1. Trihalomethanes (524) / ; 7\ . 1. Purgeable Halocarbons (624/8260) . f ', ,Count (hemodialysis & all others) Coliform p/A (public supplies) Volatile.Halocarbons (524) .J/ Volatile Aromatics (524) . ; 7 ' ' J 7 ■ -2. Purgeable Aromatics (624/8260) T 3. Acrolein & Acrylonitrile (624) ■A stp) 4. (Total Trihalomethanei Potential (51O);^7 4. Phthalates (606/8060) '4. Pecal-Coliform .(all samples) 5, ■ Microextractables (504) ■ < 5. Organochlorine Pesticides (608/8080) ‘6, PCB^ (Arochlors) (6p8/«680j j* (» 'S.,.J4icrosco^7 6 Pesticides (507) 0 Pesticides/PCB screen (508) , 7. Herbicides (SM-18/6640: 8151} ’ 'C'

■■'•J 8. . PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) ^Herbicides (515) ’ 9. Petroleum Hydrocarbon Scan (310-13) A ____ - O Pesticides, (525) j41rigerated?2^yes_ .no J 11. Carbamate Pesticides (531): ■ '' - a 11. Acid Extractables (625/8270) ' '

. CHJorihated^ .yes„ no 12. GlyphoSate (547) ' y 13. Diquat (549) .......... GC/MS Unknown Scan W: t’'<aW77'a7^'7'’ "x 14. Chlorination Disinfection Byproducts .(551) 14; .Purgeable Halocarbons (DEF) , , .-x ,< ■ Free.Chlorine Res: Yrng/L J5.Haloacetic;Acids((55277',7,,.,('a;aa:lx;g;71.5^^tkgdOS^^i^Xfe|^M'./ilSIS7 16. Other Pesticides (SM-18/6630) 16 Pesticides (DEF)

iSili .-1 Lmg/D ; 17. Petroleum/Hydrocarbon Scan (310-13) (Tf-YAc ■ Yxx ’■ . - ■ ■ •'... Yi.'. '-"gx

/7/,v//\x 17. PCB’s (Arochlors) (DEF)

'77 ?/-a7W';>-;^7'-Y'r ■.77’/'\7'''''77777777'77 7;^y7 'a:'a;7Ai''77g7\;77'7^-77^777'7^'a?‘’

ESTED - Labff7"77;>j^^^^^ INORGANIC ANALYSES REQUI 'W- < .a;Y7' 1 Y Cblon . .. . ’ 20. Acidity jX? ■;^59/ Potassium -I" •2.' Turbidity ■ ‘ . 21.-Abalinity, as CaCOa . ' (4^,Antimony : eO.Seleniufn 37 pH' ■--22. momide ’ 41. Arsenic 61. Silver , ■/'• X. r '23. Bromate/Chlorate/Chlorite 4g. Barium x. 5,- Corrosivity (temp:____ "C) 24. Chloride ■ ^pBerylliumi x ■ ■ .(jS^Jhailium 5 . '6'.’ BOD (5 day) 25. Cyanide 44. Boron x-xf 7 7 Vg^Vanadiuni :;^;SbluWe:BOD(5 day)- 26. Fluoride 45. Cadmium 65. Zinc i;5,.day)7-^ 27. Hardness, Total as CaCOs .^Ag. Calcium,.as^CaCOa^77^575 M?K^4^^!^'^^W94p7'Pemand.77x;M.:NitrpgenrArhiPO ‘'As7N77777.'Ci0^l^i“'^'’P®'Y7./:Y,;x,..7,7g gg Nitrogen, Nitrate as N 48. Chromium, Total 30. Nitrogen. Nitrite as N ' 49. Chromium, Hexavalertl x Y m .7 31. Nitrogen, Total Kjeldahl as N (T^t^obalt . 32. Oil and Grease . , . Copper ' ,, >- 70. Disk Deliverables 33 Phenol CS>ron TQLP 7r7;34xiRh6spiii^us/T<4^;S^^4;77g7t^AUM^ x:sw7t7.x7/7Y? 7^777 t -a- FTe. Solids, Total 35. Phosphorus, Ortho as P ; /’’oOt^agnesium -. 72.TCLP-Peslicides . , ,p?'-®«^WDl|!JolVed 36. Sulfates’ s . 37 Surfactants- < -A’’SViyianganese y- , . ^ercury.(x-X'..;,-. . . • 'iWWSpB SbwgaigSTasBa NYC-WTC_000071162

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NYC-WTC_000071162Source: NYC Law Department, mirrored locally

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