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Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Custody form for samples handled by the Westchester County Department of Labs & Research.

NYC-WTC_000072138–000072145

Folder label: “26624

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Scanned page image, NYC-WTC_000072140
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NYC 9/11 Public Portal Document

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' J^.Pofabje'' ' 7_{3. .Non-PotableTrea/ed ' 7 ;Bottle #’s:/\i-V.-<r 3 J/ ' ■‘2.'Non-Poiable? ■< Other:^.L_L_H_____i2.i__j^____r_^^' \ChainprCus^dy,?<-Y^77_^ers’.17^ . ;Tirne/pate,CbliTCfea7• - Hi- t - ■ Comments: Collected Bv:t t ' ■ Agency Code: , . , ; . ' L PWS #:. ■ . Soufce'ID:'.- . -‘Type Descriptor: Collected From: 7' *' ' Blll to: r Location’s/lndividuai’s Name ■. vM C “TPC P Name/Cornpahv ~. Street-' V'A-U^- ______ •• ■ Street ■ ■ . City/St/ZipJVKdwtdVil^________ Citv/sVZip-

Identification of Sourc’e-' ■ • ~ ,- .Phone#: •. - Fax#: Collection Point .?Hd'-I .'iH-,- ' - ’ ' ‘I CA, CH, Bl? ' - Check'#: . ~ AmouritSi

BACTERIQLOGICAL ANALYSES ORGANIC POTABLE analyses ORGANIC NONPQTABLE/SOLip.ANALYSES- ;Lab- - - (circletests), \' '(circle tests) , ' ' ' ' • ■ , 1 .' Heterotrop^hic Plate■ ; 1. Trihalornethanes (524)' • 1. Purgeable Halocarbons (624/826d) Count (hemddialysis &'all others) Volatile Halocarbons (524) ' 2.' Purgeable Aromatics (624/8260) " ■•J

. 2. Coliform ■p/A'(pub’ljc,supplies) " Volatile Aromatics (524) . 3. Acrolein & Acrylonitrile (624) I3. Golifdrm .MPhf (priv.Well., raw. _stp) 4. ‘Total Trihalorinethane Potential (510) •’ 4. Phthalates (606/8060) 4’. Fecal Coliform'(ail samples) - .' . 5. Microextractables''(504) - ' 5; *Organochl6rine'Pesticides'’(608/8080); ' . 5.'/Microscopic ,' ; ■ 6.. .Pesticides (507) ' , O;--^CB’s (Arochlors) (60'8/8080) . ' , .! ,6.'Macroscopic'; < r' ■ ■■■ '■ Pe/ticideE/PCB.screefV(508) 7. .Herbicides7SMll8/6640y8r51)' ’’s;. PCB'as\Decachlprobiphenyl.(50'8A)-. ' 8^ ''Othef,Pesticides(SM-18/6630) • , ' ' :her: Herbicides'(51'5)- ’- - * <9. .Petroleum'Hydrocarbon Scan (310-13) ^;Pesticidef(525) . ; '10/Glycols in’Water •.Refrigerated? : yes ' ' no - f 11 f Carb'arnate Pesticides (531) 12.,Giyph”osateJ547)^ 13. Diquat.(549j ’ ■ , ,'11. Acid Extractables‘ ,(625/8270), I^Base'Neutral.E^ractables (625/8270) rf^GC/MS Unknown Scan, '1 - Chlorinated?:' .yes no "14. Chlorination Disinfection ByprodiTcts (551)' T4i Purgeable Halocarbons (DEF) Free Chlorine Res;t^ '15. Haloacefic-Acids (552) • ■■ ' 15. Purgeable Arornatics (DEF) ■.i'6."Ofher Pesticide/(SM-18/6630) ■ ; - • • 16. Pesticides (DEF) 1 3 Total Chlorine Res: Img/L ■ 17. Petroleu^Hydrocarbon Scan.’(310-13) 17. PCB’s (Arochlors) (DEF)

A < (' /I . ■ xi' / , INORGANIC ANALYSES REQUESTED - Lab#: / / hl (circle tests). 1. Color-' ; . 20. Acidity 39. Aluminum , 59. Potassium ■i 2. Turbidity. 21. Alkalinity, as CaCOa . /40, Antimony 60. Selenium 3. pH " 4.' Conductivity 5. Corrosivity (temp: 22. Bromide 23. Bromate/Chlorate/Chlorite .°C) 24. Chloride H i '■■41. Arsenic 42. Barium /43t Beryllium 61. Silver . 62. Sodium , 63. Thallium 1 . 6.' eOD(5day) 25. Cyanide ^44. Boron .. ?64'. Vanadium 7. ■ Soluble- BOD (5 day) - 26. Fluoride 45. Cadmium .65. Zinc_______ _ 8.; Carbonaceous BOD (5 day) , 27. Hardness. Total as CaCOa 46. Calcium, as CaCOs CLP '9. ; Cfie'rnrcal Oxygen Demand ~ 28. Nitrogen, Ammonia as N 47} Calcium, Ca*’ 66. Metals/CN 4 0? bissolved’Oxygeh '7. ■ . ■10' 29. Nitrogen, Nitrate as N’ ■' ■ '“48. Chromium, Total 67. Volatiles j 1i‘ Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium; Hexavalent 68. Semi-volatiles 12.'Totardrganic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt . 69. Pesticides/PCB's ^^olids; Percent'(%) 32. Oil and Grease 51. Copper, 70. Disk Deliverables ^Bolids; Settleable 33. Phenol ' 52? Iron ICLP 1 .I^Soiids; Suspended . 34. Phosphorus. Total as P . 53. Lead 71.TCLP-Metals ..16.-Solids, j^til,.; 35. Phosphorus, Ortho'as P ^54; Magnesium 72. TCLP-Pesticides ^Z/^olids. Total Dissolved • 36. Sulfates TSS) Manganese 73. TCLP-Herbicides -t8.<Solitls7XotaLVolatiie^7 • ' 3.7. Surfactants •' . ■ 56..Mercury 74;jCLP;Volatiles'- ^;j01her: .-<;^ Y Z / ■ ,38.1.1 V254' ■'3‘ • : Molybdenum '<'75..iTCLP;BNA’s- '

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NYC-WTC_000072140

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NYC-WTC_000072140Source: NYC Law Department, mirrored locally

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NYC-WTC_000070918 · Box DEP Box 61

Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.

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