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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_000073075–000073079

Folder label: “AE 02092”

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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: Sample Type (circle one): 1. Potable 3. Non Potable Treated (2.Non Potable 4. Other _ Time/Date Collected: Collected By: Lab Collected From: Location s/individual's Name Street City/St/Zip Identification of Source Collection Point FBW 1/15т02 Agency Code: Field Bauk NEVE Bottle #'s: Chain of Custody? Comments: PWS #: Bill to: Name/Company Street City/St/Zip Phone#: Yes Q91 No Source ID: CA,CH, BI? 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 API Other: Lab# 2095 Refrigerated? _ yes_ no Chlorinated:? yes__ no Free Chlorine Res: _mg/L Total Chlorine Res:: _mg/L рH 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) 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 Barum Beryllium Boron Cadmium Calcium, as CaCO3 Calcium, Ca+2 Chromium, Total Chromium, Hexavalent Cobalt Copper Iron Lead Magnesium Manganese Mercury Molybdenum Nickel NYC-WTC_000073076 neho NYS-ELAP No. 10108 Form A-70 (rev.10/01) Type Descriptor: _ Fax#: Check#: Amount$ 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: Potassium Selenium Silver Sodium Thallium Vanadium Zinc CLP Metals/CN Volatiles Semi-violatiles • Pesticides/PCB's ICLP TCLP-Metals TCLP-Pesticides TCLP-Herbicides TCLP-Volatiles TCLP-BNA'S

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NYC-WTC_000073076Source: NYC Law Department, mirrored locally

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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 0.991

machine-extracted · confidence unavailable · Check page ↗
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 0.980

machine-extracted · confidence unavailable · Check page ↗

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