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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 Nestchester gov.com! ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORMEY WESTCHESTER COUNTY LABORATORIES AND'RESEARCH) •2 Dầna" 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; Collected By: Collected From: Location's/Individual's Name Street . City/St/Zip Identification of Source • Collection Point 2|4/02 Ágency Code: NENL Field Blank Bottlé #'s: Q25%7 Chain of Custody?' * Yes: Comments: PWS #: .Source" ID: _ Bill to: Name/Company Street City/St/Zip Phone#: CA,CH, BI?'* BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies) Coliform MPN+ (priv well, raw, stp) Fecal Coliform (all samples). Microscopic Macróscopic Othier: Refrigerated? -: . yeş Chlorinated:?+. Free Chlorine Res: Total Chlorine Res: no. - yes :_ no mg/L - mg/L pH Labt: ORGÄNIC POTABLE ANALYSÍS Trihalomethanes (524) Volatile Halocarbons (524) _ Volatile Aromatics, (524) Total Trihalomethane Potential (510). Microextractables (504);- Pesticides/PCB'screen' (508) 1 . PCB as Decachlorobipheny!: (508A): Herbicides] (515); - Pêsticides (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 ANALYSIȘ REQUESȚED - Lab#: Color = Turbidity _ рн - Conductivity Corrosivity (temp: °C) •BOD (5 day) Carbonacéous BOD : (5 day): - Solüble BOD. (5 day) * Chemical Oxygen Demand: Dissolved Oxygen™ - Total Organic Carbon Totäl Organic Halides) Solids; Percent. (%): Sólids; Sëttleable, .solids, Suspended Sölids; Total™ Solids; Total Dissolved) Solids; Total:Volatile, Other: Acidity Alkalinity Bromide Bromate/Chlorate/Chlorite Chloride Cyanide Fluöride : Hardness, Total as CaCO3 Nitrogen, Ammonia as N. Nitrogeñ,-Nitrate as N Nitrogen, Nitrite as N Nitrogen, Total Kjeldah! as N: oil and Grease Phienöli Phosphorus Total as P* Phosphorus; Ortho as P. Sulfatés! Sürtactants =ÜV2$4; . Aluminum _Antimony 'Arsenic* Barium Beryllium Boron Cadmium: Calcium, as. Cacos "Calcium: Cat? Chromium, Total Chromium; Hexavalent; Cobält. Copper =(rón) Lead; _Magnesium* Manganese +MercuryA Mölyodenum: -Nickel? NYC-WTC_000073332 icac NYS ELAP No:10108 ofÀ-70(rév.10/01) 1163 _Type Descriptor: Fax#: Check#: Amount$:usx •ORGANIC NONPOTABLE/SOLID ANALYSIS Purgeable Halocarbons (624/8260) Purgeable Aromatics, (624/8260). ÷ Acrölein &'Acrylonitrile,(8260), Organochlorine Pesticides (60878081). PCB'S (Afochlors) (608/8081)* ÷ Herbicides (SM18/6630,8151)4 -; Other Pesticides: (SM18/6630): Petroleum Hydrocarbon Scan: (310-13) -Glycols in Water: Acid Extractables: (625/8270)= Base Neutral Extractables: (625/8270)., ZGC/MS Unknown Scan .Phthalates (606MS); Other:] Potassium Selenium" Silver : Sodium: ÷Thallium Vanadium: Zinc CLP: =Metäls/CN; Volatiles "Semi-vidlấtiles = Pesticides/PCB's› ICLP' =TCLP-Metals: TCLP-Pesticides TCLP-Herbicides: —TČLę￾Vổìätilès? TOLPBNÄS!

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NYC-WTC_000073332Source: NYC Law Department, mirrored locally

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