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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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Scanned page image, NYC-WTC_000073078
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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: 1.28.020855 Collected By: ScOT Agency Code: Collected From: Location's/Individual's Name NYC DEP Street MPSTLAKL DKIVE City/St/Zip duct MY Identification of Source Collection Point DELS nelo NYS-ELAP No. 10108 Form A-70 (rev.10/01) 32961 8946-1K 102 590 Bottle #'s: 1E90 P2l035, P2634,0414 Chain of Custody?Yes No LUnCTRBLAR Comments:_ PWS #: - Source ID: LType Descriptor: Bill to: Name/Company Street City/St/Zip Phone#: Fax#: CA,CH, BI? Check#: Amounts 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: Refrigerated? _ yes no Chlorinated:? - yes _ no Free Chlorine Res: _mg/L Total Chlorine Res:_ _mg/L рH Lab#:_ ORGANIC POTABLE ANALYSIS Trihalomethanes (524) X 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 MIBE 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) X GC/MS Unknown Scan Phthalates (606MS) Other: RADIOCHEMICAL ANALYSIS Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: Color Turbidity Acidity Alkalinity рH Bromide Conductivity Bromate/Chlorate/Chlorite Corrosivity (temp: BOD (5 day) °C) *Chloride Carbonaceous BOD (5 day) Cyanide Fluoride Soluble BOD (5 day) Hardness, Total as CaCO3 Chemical Oxygen Demand Nitrogen, Ammonia as N Dissolved Oxygen Nitrogen, Nitrate as N Total Organic Carbon Nitrogen, Nitrite as N Total Organic Halides Nitrogen, Total Kjeldahl as N Solids, Percent (%) Oil and Grease Solids, Settleable Phenol Solids, Suspended Phosphorus Total as P Solids, Total Phosphorus, Ortho as P Solids, Total Dissolved Sulfates Solids, Total Volatile Surfactants Other: UV254 Aluminum XAntimony Arsenic Barium &Beryllium Boron Cadmium Calcium, as CaCO3 -Calcium, Ca*2 Chromium, Total ,Chromium, Hexavalent ZCobalt Copper Xlron Lead Magnesium X Manganese _Mercury 2 Molybdenum Nickel Potassium Selenium Silver Sodium &Thallium Vanadium Zinc CLP Metals/CN Volatiles Semi-violatiles Pesticides/PCB's TCLP 1CLP-Metals TCLP-Pesticides TCLP-Herbicides TCLP-Volatiles TCLP-BNAS NYC-WTC_000073078

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NYC-WTC_000073078Source: 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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