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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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Scanned page image, NYC-WTC_000073330
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NYC 9/11 Public Portal Document Westchester: gov.com: ENVIRONMENTAL SÉRVICES SAMPLE SUBMISSIONIFORM: WESTCHESTER COUNTY LABORATORIÉS; AND RESEARCH 2 Dana 'Road, Valhalla,:New York. 10595, (914),231-1620"Fax (914) 231-1772 • Time/Date Set: Sample Type (circle onie): -7. Potable) • 3. Nọn Potable Treated: 12. Non Potable 4-Othër_ Time/Date Collected: =- a §03 Collected By: 12? 1T111D 2/1/0z Agency Code: Collected From: Location's/individual's Name Street _ LLARC MC-11 br. City/St/Zip - Dalhallee 10595 identification of Source Collection PointCAT Leff inehcy NYS-ELAP:No: 10108 FóґmÃ-70"(rẹv.1ỔÌ01). UDA-0*32 152,6 C*387 17600.2640 F 2775,2776 Bottle #'s: Chain of Custody? -Yes-No™! Comments: PWS#: Sốurce ID: _ _Type Descriptor:*.* Bill to: Name/Company Street _ City/St/Zip Phone#: Fax#: CA, CH, BI? ECheck#: =Amount$ BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies) Coliform MPN (priv well, raw, stp) Fečal Coliform (all samples) Microscopic _ Macroscopic : API: _ Other:. Refrigerated? _ yes" no: Chlorinated:?.= _yes_nos Free Chlorine Res: mg/L Total Chlorine Res: -mg/L pH Lab#: 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) - Cärbamate Pesticides (531) -Glyphosate (547) Diquat' (549) - Chlorination Disinfection Byproducts: (551)} Haloacetic Acids . (552) _Óther Pesticides (SM18/6630)" UCMR List 1 _MtBE Orly (524) ORGANIC NONPOTABLE/SOLID ÄNALYSIS e Purgeable. Hälocarbons (624/8260) *Purgeable Aromatics (624|8260). → Acroiein & Acryonitrile: (8260) *§Organöchlorine Pesticides. (608/8081) PCB's (Arochlors): (608/8081),* Herbicides (SM18/6630,8151) Other Pesticices; SM18/6630), 2 Petroleum Hydrocarbon Scan, (310-13) Eclycols in Water, Acid Extractables: (625Ï827O)... * Base Neutral Extractablés (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'Örganic Carbon → Total Organic Halidés = Solids, Percent: (%)) . Solids, Settleable) Solids Suspended! Solids, Total ￾Solids, Tốtal.Dissólvęd; Solids; Total,Volatile] ie Other: Acidity Alkalinity Bromide Bromate/Chlorate/Chlorite Chloride Cyanide Fluoride, Hardness: Total as CaCOз Nitrogen, Ammonia as N. Nitrogen;; Nitrate as N = Nitrogen; Nitrite as N = Nitrogen, Tofal Kjeldahl as N: Oiland:Grease: _ Phenol! Phosphorus Total as P) Phosphorus; Ortho as Pr Sulfates! Surfactants) UV254i Aluminum "¿. iAntimony' LeArsenic:: ½Barium; ézBeryllium - Boron. «Cadmium› Calcium, asCaCO3 - Călcium; Ca+2KE ¿ehromium) Total: _Chromium, Hexavalént? 1Cobalta Copper: Tron) ILead! = Magnesium» VaManganese: « Mercuryr 4 Molybdenum: Nickeli •. = =. →Potassium: Selenium Silver: -Sodium Thallium Vanadium Zino CLP: = Mètals/CN: Ter : Volatiless Semi-violatiles. _Pesticides/PCB's ICiLP +ICLP-Metals :TCLP-Pesticides! -TCLP Hérbicides) ..TCLP-Volațiles, - TCLP-BNA'S: NYC-WTC_000073330

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

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