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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_000071383–000071386

Folder label: “27113

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NYC 9/11 Public Portal Document TTEYB ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM 30 WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road: Valhalla, New York 10595. ((914) 593-5575 NYS-ELAP No. 10108 Form A-70 (rev./1/96 Time/Date Set: Sample Type (circle one): 3 Potabie :3. Non-Potable Treated 2 Non-Potable 4. Other Time/Date Collected: Collected By. Wagner Collected From: Location's/Individual's Name NyCDEP steet 14 WestLake DAive cıysızp Valballa, NY 10595 Identitication of Source collection PonE CRO GH PF6:7Ib P: 698P-w/00 QFG•SSs 0 5$79 556 otle #'s C.0480, K-7323n-95B3 4=b692 Chain of Custody? yes -no 11-4-01 Agency Code: Comments: PWS #: Source ID: Type Descriptor: Bilto: Name/Company. Street City/ŞțZip Phone#: Fax #: CA, CH, ВІ? Check#: Amount$ BACTERIOLOGICAL ANALYSES Lab#3 (circle lests) 1 Heterotrophic Plate Count (hemodialysis & all others) „Coliform PIA (public supplies) : 3 CoitormPN (priv well, raw, stp) 4. Fecal Colform (all samples): 5. Microscopic 6. Macroscopic TLAPI 8. Other: Refrigerated? no ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Chiorinated?: yes _yes. Free Chlorine Res: no mg/L Total Chlorine Res: mg/L+ Lab #: (drcle tests) Trihalomethanes (524) Volatile Halocarbons (524) Volațile Aromatics (524) 4.Total Trihalomethane Potential (510) 5. Microextractables (504) Pesticides (507) Pesticides/PCB screen (508) PCB as Decachlorobiphenyi (508A) Herbicides (515) Pesticides (525) .11. Carbamate Pesticides (531) 12. Glyphosate (547) :13. Diquat (549) 14. Chlorination Disinfection Byproducts (551) 15. Haloacetic Acids (552) 16. Other Pesticides (SM-18/6630) 17. Petroleum/Hydrocarbon Scan (310-13) 1. Purgeable Halocarbons (624/8260) 2. Púrgeable Aromatics (624/8260) 3.. • Acrolein & Acrylonitrile (624). 4.3 Phthalates (606/8060) .5. Organochiorine Pesticides (608/8080) 6. PCB's (Arochlors) (608/8080) 7. Herbicides (SM-18/6640; 8151) 8. Other Pesticides (SM-18/6630) .9. Petroleum Hydrocarbon Scan (310-13) 10. Glycols in Water 11. Acid Extractables (625/8270) Base Neutral Extractables (625/8270) GC/MS Unknown Scan: 14. Purgeable Halocarbons (DEF) 15. Purgeable Aromatics (DEF) 16. Pesticides (DEF) 17. PCB's (Arochlors) (DEF) INORGANIC ANALYSES REQUESTED -Lab#: (circle tests) 1."Color 2: Türbidity: 3.оH: 4. Conductivity 5. . Corrosivity (temp:. °C) BOD (5 day): TSoluble BOD. (5 day) 8. Carbonaceous BOD (5 day) 9, Chemical Oxygen Demand 10. Dissolved Oxygen 11. Total Organic Carbon 12. Total Organic Halides 13. Solids, Percent (%) 14. Solids; Settleable 15, Solids, Suspended 16, Solids: Total: 17. Solids, Total Dissolved 18. Solids. Total Volatile: Othert Z ‹20. Acidity *21. Aikalinity, as CaCO3 Bromide 23/ Bromate/Chlorate/Chlorite 241 Chioride 25. Cyanide 26. Fluoride 27. Hardness, Total as CaCO3 28. Nitrogen, Ammionia as N 29. Nitrogen, Nitrate as N 30. Nitrogen, Nitrite as N 31. Nitrogen, Total Kjeldahl as N 32. Oil and Grease 33. Phenol 34. Phosphorus. Total as P 35. Phosphorus, Ortho as P 36. Sulfates 37. Surfactants 38,UIV254 Shus 39 Aluminum Antimony Arsenic Barium Beryllium 44. Boron 45. Cadmium 46 Calcium, as CaCO3 Calciüm, Cat2. Chromium, Total 49 Chromium, Hexavalent Cobalt Copper iron 53. Lead (54) Magnesium 5 Manganese Mercury" 57 Molybdenum 58. Nickel Mất Potassium 60. Selenium 61 Silver Sodium Thallium (64) Vanadium 65. Zinc CLP 66. Metals/CN: 67. Volatiles 68. Semi-volatiles 69. Pesticides/PCB's 70. Disk Deliverables ICLP 71. TCLP-Metals 72. TCLP-Pesticides 73. TCLP-Herbicides 74. TCLP-Volatiles 75. TCLP-BNA's NYC-WTC_000071386 007

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NYC-WTC_000071386Source: NYC Law Department, mirrored locally

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