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Chain of custody record, Westchester County Labs, Oct 2001

Machine-extracted title · confidence 95%

Document tracking the transfer of environmental samples to Westchester County Department of Labs and Research.

NYC-WTC_000072808–000072811

Folder label: “25944

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NYC 9/11 Public Portal Document Westchester gov.com ENVIRONMENTALSERVICES SAMPLE SUBMISSIONFORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 Time/Date Set: Sample.Type (circle one): 1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 0 21- 0 L 05)50 Collected By: D.SC CSTT Agency Code:_ Collected From: Location's/Individual's Name NYC CLP Street M WeS+LAKC DOVE City/St/Zip VALHALLA, NY 10395 Identification of Source Collection Point Cutirtf NYS-ELAP No. 101 Form A-70 (rev.1/g 19412, 8365, PFB9426, к7497, Botte Fs: C0315,966, Q9599, 0FB 9441 Chain of Custody? yes no K8236 1-8320 VCC Comments: BLANR PWS #: Source ID: .Type Descriptor:. Bill to: Name/Company Street City/St/Zip Phone#: Fax#: CA,CH, ВІ? Check#: Amount$ BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#: (circle tests) 1. Heterotrophic Plate Count (hemodialysis & all others) 2. Coliform P/4 (public supplies) 3. Coliform MPN(priv well, raw, stp) 4. Fecal Coliform (all samples) 5. Microscopic 6. Macroscopic 7. APL 8. Other: Refrigerated? _yes Chlorinated:? yes no Free Chlorine Res: Total Chlorine Res: mg/L Lab#: (circle tests) 1. Trihalomethanes (524) 2. Volatile Halocarbons (524) (3. Volatile Aromatics (524) 4 Total Trihalomethane Potential (510) 5. Microextractables (504) 6 Pesticides (507) Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyi (508A) 9. Herbicides (515) (10. Pesticides (525) 11. Carbamate Pesticides (531) 12. Glyphosate (547) 13. Diquat (549) 14. Chlorination Disinfection Byproducts (551) 15. Haloacetic Acids (552) 16. Pesticides (SM18/6630) 17. Petroleum/Hydrocarbon Scan (310-13) 18. Other: 1. Purgeable Halocarbons (624/8260) 2. Purgeable Aromatics (624/8260) 3. Acrolein &Acrylonitrile (624) 4. Phthalates (625/8270) 5. Organochlorine Pesticides (608/8081) 6. PCB's (Arochiors) (608/8081) 7. Methoprene (616) 8. Herbicides (EPA1978/8151) 9. Pesticides (SM18/6630) 10. Petroleum Hydrocarbon Scan (310-13) 11. Glycols 12. Acid Extractables (625/8270) 13, Base Neutral Extractables (625/8270) (14. GC/MS Semivolatile Unknown Scan 15. Purgeable Halocarbons (DEF) 16. Purgeable Aromatics (DEF) 17. Pesticides/PCB's (DEF) 18. Other: INORGANIC ANALYSIS REQUESTED - Lab#: 21. Alkalinity, as CaCO3 Aumnummetals C40. Antimony 23. Bromate/Chlorate/Chlorite 5. Corrosivity (temp: (43.Beryllium 62, Sodium (63. Thallium 64. Nanadium Soluble 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, Tota 17. Solids, Total Dissolved 18. Solids, Total Volatile 19.OtherA STLT 26. Fluoride 27. Hardness, Total as CaCO3 28. Nitrogen, Ammonia as N 29. Nitrogen, Nitrate as N 30. Nitrogen, Nitrite as N 31. Nitrogen, Total Kjeldahl as N 32. Oil an Grease 33. Phenol 34. Phosphorus Total as P 35. Phosphorus, Ortho as P 36. Sulfates 37. Surfactants 38. UV254 45. Cadmium 46.Calcium, as CaCos 47.Calcium, Ca+? 48. Chromium, Total 49. Chromium, Hexavalent (50.Cobalt 51. Copper 52,Jron 53.Lead C54Magnesium 55 Manganese 56. Mercury 57 Molybdenum 58. Nickel 67. Volatiles 68. Semi-violatiles 69. Pesticides/PCB's 70. Disk Deliverables TCLP 71.TCLP-Metals 72. TCLP-Pesticides 73, TCLP-Herbicides 74, TCLP-Volatiles 75 TCLP-BNAS NYC-WTC_000072811

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NYC-WTC_000072811Source: NYC Law Department, mirrored locally

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NYC-WTC_000070332 · Box DEP Box 61

Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

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