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

Machine-extracted title · confidence 90%

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

NYC-WTC_000073252–000073256

Folder label: “AE 02579”

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Scanned page image, NYC-WTC_000073253
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OCR status: ocr · source: ours

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 Jype (circle one): 1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 10/S 2•1-02 Collected By: K.0 (1t Ci Agency Code: Collected From: Location's/Individual's Name Street City/St/Zip Vaha lla LuC. DeP 1AVC Drue l0s0S G Identification of Source Collection Point CRo - 1 VDA: 0175 G- 2548,335 Bottle #'s: Chain of Custody? Comments: PWS #:. Billto: Name/Company Street City/St/Zip Phone#: 24 _YesNo Source ID: CA,CH, BI? 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 Macroscopie AP! Other:_ Refrigerated? _ yes _ no Chlorinated:? . yes_ no Free Chlorine Res:_ -mg/L Total Chlorine Res: -mg/L pH 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) cites (SM 13830) UCMR List 1 MtBE Only (524) RADIOCHEMICAL ANALYSIS Radon Other 25 INORGANIC ANALYSIS REQUESTED - Lab#: _ Color Turbidity _ рH Conductivity Corrosivity (temp:_ BOD (5 day) Carbonaceous BOD (5 day) Soluble BOD (5day) 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 Z Other: - Acidity Alkalinity Bromide °C) 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 Z Aluminum Antimony LArsenic v Barium L'Beryllium Boron Cadmium Calcium, as CaCO3 Calcium, Ca*2 Chromium, Total Chromium, Hexavalent Cobalt LCopper kfron kLead Magnesium Manganese Mercury L Molybdenum •Nickel NYC-WTC_000073253 neac: 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) GC/MS Unknown Scan Phthalates (606MS) Other: Potassium Selenium LSilver Sodium - Thallium Vanadium Zinc CLP Metals/CN Volatiles Semi-violatiles Pesticides/PCB's TCLP TCLP-Metals TCLP-Pesticides TGLP-Herbicides TCLP-Volatiles TCLP-BNAS

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NYC-WTC_000073253Source: 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 0.986

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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 0.986

machine-extracted · confidence unavailable · Check page ↗

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