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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: neac 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: 800 129.0€ Collected By: D.SuTTan Agency Code: Collected From: Location's/Individua's Name_ AIC DCP Street LUESTLAKE DZNE City/St/Zip Vrelhe.llca AN 10.595 Identification of Source Collection Point (20 G.rl C151/4 5950, 471 0 92181,24180011985972 Bottle #'s: Chain of Custody? Yes No Comments: PWS #: Source ID: Bill to: Name/Company Street City/StZip Phone#: Fax#: Type Descriptor: CA,CH, BI? Check#: Amount$ BACTERIOLOGICAL ANALYSIS Lab#: Labf: Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies) Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic Macroscopic AP Other: Refrigerated? Chlorinated:? yes. yes Free Chlorine Res: Total Chlorine Res: mg/L mg/L рH ORGANIC POTABLE ANALYSIS Trihalomethanes (524) Nolatile 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) 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 CaCO3 Calcium, Ca*2 Chromium, Tota Chromium, Hexavalent Cobalt Copper Lead Magnesium L Manganese Mercury 4Molybdenum 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_000073151

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NYC-WTC_000073151Source: 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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