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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_000072142
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• z• .'HW 'NYS-ELAPNo.^0Y08' . Form A-70 (rev. 1/] ^^XanfRfe^pe^(circie one): j'j-I- J i' ''\iyPptable.. “ . • ...i <3., .Non-Potable Treated , ' ( Bottle - I^Non-Potable .4."Other , ; /• Chain of Custody? ' yes no •^Tirhe/Date'CpIjec^ - ■ Comments: (cbllected.By:'7)''<'S Z ' Agency Code: - - PWS #:___________ Source ID: Type Descriptor: (Collected From: ■■ Bill to: '• Location’s/lrldfy^dual’s. Name ■ /v V (.• ________ __ Name/Company ■'.Street f ' >>rlt u f -______ ' Street■ citv/s'^zio Ha Ho ' '• k' r 5 Citv/St/Zip ' Identification b'f Source-' ' ' ___________ U___ Phone#;__ _______ Fax #:. :Collection^oint?^- Y.t'I -f A I CA. CH. Bl? Check#: Amounts,

'BACTERIpLOGJCAU ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES <Lab#; ■ / ‘ ' ; Lab #:_2____ L_^__ (drclel'Ulsj ... yA. ' (cirdelests) - ■ ■,i; Heterptrophic'RIate/'; (■ ' ’-;1'. ^Trihalomethanes(524) 1. Purgeable Halocarbons (624/8260) ' CpuhV(.KerTibdialysiS/&'al^ others)' /A Volatile Halocarbons (524) . 2.' Purgeable Aromatics (624/8260) (2, , Volatile Aromatics J524) ’3. Acrolein & Acrylonitrile (624) V3..?Col]fprrn/M^N'(pciytweljVraw.; stp)' iTotaTTrihalomethane Potential (510) '• •4. Phthalates (606/8060) . . 4'.' Fecal Goliform^falijsdmples): < "5. Microe^ractables (504) ' - 5. .'Organochlorine Pesticides (608/8080) '^5? Microscopic" '■ ^\Pesticides?(507) ■ 6. PCBls (Arochlors) (608/8080) ■6; Macroscdpic '’ -j . ,•• . Gt Pesticides/PCB screen (508) 7. .Herbicides (SM-T8/6640; 8151) ■Qmer:. •-.J.ti' ' • .8. iPCB as Decachlorobiphenyl (508A)- 8. Other Pesticides (SM-18/6630) ■)l ' Herbicides (515) ‘ 9. .Petroleum Hydrocarbon Scan (310-13) Pesticides (525) 16. Glycols in Water . ■.RefriQerated?j ' ?■ yes^- _no', . 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) ■ ‘ 12. Base Neutral Extractables (625/8270) ■ ; Chionnate'd?;p'yes -' ■- no ■ 13. Diquat (549) 0/ GC/MS Unknown Scan . 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) ' Free Chlorine Res: ' mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) * . 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total'Chlorihe Res: ' rng/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)

'pHl. /I Z' / / / A?/— J ■ ■- .> INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) 1. Color ■ 20. Acidity 39. Aluminum 59: Potassium 2.. Turbidity 21. Alkalinity, as CaCOa ^40? Antimony 60. Selenium 3. pH . 22. Bromide 4'1. Arsenic 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium ('62; Sodium 5. Corrosivity (temp: .’C) 24. Chloride (43.. Beryllium .^3; Thallium 6. BOD (5 day) 25. Cyanide 44. Boron /64.'Vanadium 7. . Soluble BOD (5 day) ... 26. Fluoride 45. Cadrhium 65. Zinc 8. ' Carboriaceous BOD (5 day) 27. Hardness. Total as CaCOa 46. Calcium', as CaCOa CLP 9. Chemical Oxygen Demand ' 28. Nitrogen. Animonia as N ' 47? Calcium. Ca*2. 66. Metals/CN 10; Dissolved Oxygen 29. Nitrogen. Nitrate as N ~48. Chromium. Total 67. Volatiles !. 11. Total Organic Carbon 30. Nitrogen. Nitrite as N 49. Chromium. Hexavalent . 68. Semi-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N (5.0*. Cobalt . 69. Pesticides/PCB’s J^Solids. Percent (%) 32. Oil and Grease 51. Copper' 70. Disk Deliverables ^wfeolids. Settleabie 33. Phenol . (52.'-lron TCLP -..15;-S6lids, Suspended 34. Phosphorus. Total as P 53.' Lead ‘ .71.TCLP-Metals 16. Solids. Total > 35. Phosphorus. Ortho as P ( 54^ Magnesium • 72. TCLP-Pesticides ,^1^7. Solids.'Totaj Dissolved: 36. Sulfates 1'55;' Mangariese 73. TCLP-Herbicides r/8.^Sblids.'‘fotal Volatile'’ , 37.' Surfactants ' " . • 56. Mercury j* ■ 74. TCLP-.Volatiles: ' ^fg^pther:. 'ArfTi ‘38. I IV254“ -• ,5575 Molybdenum (TS.frcLP-BNA's i '587Ni6keL, ' ” .1

NYC-WTC_000072142

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NYC-WTC_000072142Source: 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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