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Chain of custody record, Westchester County Dept of Labs, Jan

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Document recording sample chain of custody for the Westchester County Department of Labs and Research.

NYC-WTC_000073144–000073155

Folder label: “AE 02380

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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): L.Potable 2. Non Potable Time/Date Collected: 3. Non Potable Treated 4. Other 10415 Collected By:- Collected From: Location's/Individual's Name MYC Street 1S WuEsTLAKc City/StZip Vathalla, L11 Identification of Source Collection Point DEL 18 1-30°Cc Agency Code: DEP DIZIVC 10595 nelac NYS-ELAP No. 10108 Form A-70 (rev. 10/01) K 0345,345rl.C1512 72050,2649 Bottle #s 2478.2429 Chain of Custody? Yes Comments: PWS #: Source ID: Type Descriptor: Bill to: Name/Company Street City/St/Zip Phone#: Fax#: 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 Macroscopic API Other: Refrigerated? Chlorinated:? - yes - yes Free Chlorine Res: Total Chlorine Res: mg/L -mg/L pH ORGANIC POTABLE ANALYSIS Trihalomethanes (524) ZVolatile 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) GC/MS Unknown Scan Phthalates (606MS) Other:_ RADIOCHEMICAL ANALYSIS Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: Color Turbidity рH 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 L 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 LAntimony Arsenic Barium _Beryllium •Boron Cadmium Calcium, as CaCOs Calcium, Ca*2 Chromium, Total Chromium, Hexavalent 1Cobalt _Copper yelfon Lead Magnesium Manganese Mercury tMolybdenum Nickel Potassium Selenium Silver Sodium Phallium 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_000073153

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NYC-WTC_000073153Source: 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 0.978

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