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Chain of custody record, Jan 2002

Machine-extracted title · confidence 95%

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

NYC-WTC_000073056–000073060

Folder label: “AE 02088”

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NYC 9/11 Public Portal Document Westchester gov.com ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 231-1620 Fax (914) 231-1772 Time/Date Set: nelac NYS-ELAP No. 10108 Form A-70 (rev.10/01) Sample Type (circle one): 1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 1/27/0z Collected By: b Agency Code: A/tyE Collected From: Location's/Individual's Name Field Blank Street City/St/Zip Identification of Source Collection Point FBIN Bottle #'s: P808,Q512 Chain of Custody? _Yes No Comments: PWS #: Source ID: Bill to: Name/Company Street City/St/Zip Phone#: . Fax#: Type Descriptor: CA,CH, BI? Check#: Amount$ BACTERIOLOGICAL ANALYSIS Lab#: _ Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies) Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic Macroscopic APL Other: Refrigerated? _ yes no Chlorinated:? - yes _ no Free Chlorine Res: -mg/L Total Chlorine Res: _mg/L рH Lab#: ORGANIC POTABLE ANALYSIS Trihalomethanes (524) Volatile Halocarbons (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) XGC/MS Unknown Scan Phthalates (606MS) Other: RADIOCHEMICAL ANALYSIS Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: Color Turbidity pH Conductivity Corrosivity (temp: 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 °C) 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 CaCO3 Calcium, Ca+2 Chromium, Total Chromium, Hexavalent Cobalt Copper Iron Lead Magnesium Manganese Mercury Molybdenum "Nickel Potassium Selenium Silver Sodium Thallium Vanadium Zinc CLP Metals/CN Volatiles Semi-violatiles a Pesticides/PCB's TCLP TCLP-Metals TCLP Pesticides TCLP-Herbicides TCLP-Volatiles TCLP-BNAS NYC-WTC_000073057

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NYC-WTC_000073057Source: NYC Law Department, mirrored locally

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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 0.991

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