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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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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: 08 3 Collected By: 1: Micio 211/02 Agency Code: Collected From: Location's/Individual's Name рuс Street 14 BUZAT (AVE N. City/SU/Zip 22lhar/la dentification of Source Collection Point DATLAA V0A- 6354,K.0.19 C-1492 Q:3343.0512,250.20210252) Bottle #'s: Chain of Custody? Yes Comments: PWS #: Source ID: Bill to: Name/Company Street City/St/Zip Phone#: 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 Macroscopic APL Other: ORGANIC POTABLE ANALYSIS Trihalomethanes (524) LVolatile Halocarbons (524) LVolatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticides/PCB screen (508) PCB as Decachlorobiphenyl (508A) Herbicides (515) Pesticides (525) Refrigerated? _ yes no Chlorinated:?- - yes Free Chlorine Res: Total Chlorine Res: _no mg/L mg/L pH Carbamate Pesticides (531) Glyphosate (547) Diquat (549) Chlorination Disinfection Byproducts(551) Haloacetic Acids (552) Other Pesticides(SM18/6630) UCMR List 1 RADIOCHEMICAL ANALYSIS MtBE Only (524) Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: 75 - 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 VAntimony VArsenic LBarium Beryllium Boron Cadmium _ Calcium, as CaCO3 Calcium, Ca+2 Chromium, Total Chromium, Hexavalent Cobalt -Copper Iron Lead Magnesium L Manganese Mercury Molybdenum Nickel NYC-WTC_000073255 nenc NYS-ELAP No. 10108 Form A-70 (rev. 10/01) -4o5y 57,7695 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 LSelenium Silver Sodium LThallium • Vanadium L Zinc CLP Metals/CN Volatiles Semi-violatiles Pesticides/PCB's TCLP TCLP-Metals TCLP-Pesticides TCLP-Herbicides TCLP-Volatiles TCLP-BNA'S

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NYC-WTC_000073255Source: 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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