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Chain of custody record, Westchester County Labs, Oct 2001

Machine-extracted title · confidence 90%

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

NYC-WTC_000072885–000072889

Folder label: “AE 01732

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Scanned page image, NYC-WTC_000072888
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Westchester ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM gov.com WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York : 10595 (914) 231-1620 Fax (914) 231-1772 nelao Time/Date Set: P-2484 P2487 NYS-ELAP No. 10108 Form A-70 (rev. 10/01) Sample Type (circle one): Q-2059 u 2302 1. Potable 3. Non Potable Treated Bottle #fs:• +0529 H 9967 11-9968 K.9969 2. Non Potable 4. Other Chain of Custody? YesNo Time/Date Collected: L- 23•02 Comments: Collected By: L. Wagner _ Agency Code: PWS #: Source ID: -Type Descriptor: Collected From: Bill to: Location's/Individual's Name NVC.BER Name/Company Street 19 Wesllake DEive Street City/St/Zip Valhalia T Ny 1e595 City/St/Zip Identification of Source Phone#: Fax#: Collection Point _ DE18 CA,CH, BI? Check#: Amount$. BACTERIOLOGICAL ANALYSIS Lab#: Lab#: Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies) Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic MacroscopicR API Other: Refrigerated? yes_ no Chlorinated:? - yes Free Chlorine Res: Total Chlorine Res:_ _no - mg/L _mg/L pH ORGANIC POTABLE ANALYSIS Trihalomethanes(524) Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticides/PCB screen (508) PCB as Decachlorobiphenyl (508A) Herbicides (515) Pesticides (525) Carbamate Pesticides (531) Glyphosate (547) Diquat (549) Chlorination Disinfection Byproducts (551) Haloacetic Acids (552) Other Pesticides (SM18/6630) UCMR List 1 MtBE Only (524) ORGANIC NONPOTABLE/SOLID ANALYSIS Purgeable Halocarbons (624/8260) Purgeable Aromatics (624/8260) Acrolein & Acrylonitrile (8260) Organochlorine Pesticides (608/8081) PCB's (Arochlors) (608/8081) Herbicides (SM18/6630,8151) Other Pesticides (SM18/6630) Petroleum Hydrocarbon Scan (310-13) Glycols in Water Acid Extractables (625/8270) Base Neutral Extractables (625/8270) y GC/MS Unknown Scan Phthalates (606MS) Other: RADIOCHEMICAL ANALYSIS Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: Color Turbidity pH Conductivity Corrosivity (temp: °C) BOD (5 day) Carbonaceous BOD (5 day) Soluble BOD (5 day) Chemical Oxygen Demand Dissolved Oxygen Total Organic Carbon Total Organic Halides Solids, Percent (%) Solids, Settleable Solids, Suspended Solids, Total Solids, Total Dissolved Solids, Total Volatile Other: () Acidity Alkalinity Bromide Bromate/Chlorate/Chlorite Chloride Cyanide Fluoride Hardness, Total as CaCO3 Nitrogen, Ammonia as N Nitrogen, Nitrate as N Nitrogen, Nitrite as N Nitrogen, Total Kjeldahl as N Oil and Grease Phenol Phosphorus Total as P Phosphorus, Ortho as P Sulfates Surfactants UV254 Aluminum Antimony Arsenic Barium Beryllium Boron Cadmium Calcium, as CaCOs Calcium, Ca+2 Chromium, Total Chromium, Hexavalent Cobalt Copper wIron Lead Magnesium Manganese Mercury - Molybdenum Nickel Potassium Selenium Silver Sodium Thallium _Vanadium Zinc CLP Metals/CN Volatiles Semi-violatiles Pesticides/PCB's TCLP TCLP-Metals TCLP-Pesticides TCLP-Herbicides TCLP-Volatiles TCLP BNA'S NYC-WTC_000072888

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NYC-WTC_000072888Source: NYC Law Department, mirrored locally

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Chain of custody record, Jan 2002 · Box DEP Box 62

NYC-WTC_000073037

Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.

11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.984

machine-extracted · confidence unavailable · Check page ↗
Chain of custody record, Jan 2002 · Box DEP Box 62

NYC-WTC_000073075

Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.

11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.984

machine-extracted · confidence unavailable · Check page ↗
Chain of custody record, Jan 2002 · Box DEP Box 62

NYC-WTC_000073056

Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.

11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.977

machine-extracted · confidence unavailable · Check page ↗

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