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Chain of Custody Record, Westchester County Dept of Labs

Machine-extracted title · confidence 90%

Document recording the custody chain and handling details for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000073316–000073332

Folder label: “AE 02710

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NYC 9/11 Public Portal Document Westchester gov.com) ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY, LABORATORIES ANDRESFARCH 2.Dana,Road, Valhalla, New Yörk• 10595), (914) 231-1620 "Fax (914),231-1772 Time/Date Set: Sample:type. (circle one): Potable 3. Nọn Potable Treated, 2. Non Potable: 4. Other Time/Date Cöllected. OEDO 712,/12 Collected By: _ Let+2 Agency Code: Collected From: Location's/Individual's Name Nuc -DeP Street _ 19 l1). INKP City/St/Zip Vallerlla N/ 10573 Identification of Source Collection Point Drl18 VDA-DYHE 07588 Bottle #s:: Chain of Custody? : Comments: PWS#:_ Bill to: Name/Company Street . City/St/Zip Phone#: Yes Source ID CA,CH, BІ? BACTERIOLOGICAL ANALYSIS Lab#:_ - Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies) Coliform MPN (priv well, raw, stp): Fecal Coliformi (all"samples) Microscópic. _ Macroscopic _ API _ Other: _ Refrigerated? _ _ yes Chlorinated:? - _ yes. Free Chlorine Res:1 Total Chlorine Res: _ -no _no _mg/L _ mg/L рH Lab#: ORGANIC POTABLE ANALYSIS -Trihalomethanes (524) 4Volatile Halocarbons (524) LVolatilë Aromatics (524) _ Total Trihalomethane Potential (510) Microéxtractables (504) Pesticides/PCB screen (508). PCB as Deçachlóröbiphenyl (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) 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. Totà! Organic Halides: Solids; Pêrcent: (%)* Solids; Settleable: Solids, Suspended, Solids; Total. Solids; Total Dissolved solids Totál Volatile. -Other: Acidity Alkalinity Bromide Bromate/Chlorate/Chlorite Chloride Cyanide Eluoride: Hardness, Total,as CaCO3• Nitrogen: Ammonia as N, Nitrogen: Nitrate as N Nitrogen, Nitrite'as'N Nitrogen, Total Kjeldahlas N: Oil'and Grease Phenol: Phosphorus, Total as P. Phosphorus! Ortho:as: Prt Sülfates: Surfactants, UV254 Aluminum w'Antimony WArsenic w.Barium KBeryllium -Boron *Cadmiüm1 —Calciumi, as CaCos - Calcium; Ca+2i. Chromium, Totala - Chromium, Hexavalente uCobalt topper Vlon) Lead - Magnesium ‹Manganesej 4 Mercury w Mölybdenum. VNickelr 77 itrdte NYC-WTC_000073325 •99т пe NYS:ELAP,NO 10108 Form A70 0(rev10701) 6945 CISTZ _Týpe Descriptor: Fax#: :..: Check#: Amount$: ORGÁNIC NONPOTABLE/SOLID ANALYSIS Pürgeable Halocarbons (624/8260) →Purgeable Aromatics (624/8260) Z Acrfeln & Acrylonitrile (8260) «"Organochlorine Pesticides (608/8081) SRPCB's,(Äröchlors): (608/8081) " ** Herbicides (SM18/6630,815) 3 3other Pesticides: (SM18/6630) . Petroleum Hydrocarbon Scan (310-13) Lay Glycols in Water CLAcid Extractables : (625/8270) VBäse Neutral Extractables (625/8270) 2EciMŞ Ünknown Ścän Phthalates (606MS): Other: 1,7.. Potassium i s"Selenium. Esilver *Sodium i Thallium + →Janadium. CLP Metals/CN. 1.. Volațiles =Semi-viólatiles ÷Pèsticides/PCB's; ICLP -TCLP-Metals K—ICLP-Pesticides ZrCLP:Herbicides; IA TCLP'Volatiles: TCLP-BNAŞI

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NYC-WTC_000073325Source: NYC Law Department, mirrored locally

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NYC-WTC_000073825 · Box DEP Box 62

Document tracking the custody and transfer of water samples submitted to Westchester County Department of Labs & Research.

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