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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_000073323
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NYC 9/11 Public Portal Document Testchester gov.com: Time/Date Set: Sample Type (circle one): Cotable 3. Non Potable Treated : 2. Non Potable 4. Other_ Time/Date Collected: 2:2002 Collected By: L. Wagner Agency Code: Collected From: Location's/Individual's NameNYC DEP Street 19 Wesllake Driuc City/St/Zip _ Valballa, Ny 10595 Identification of Source Collection, Point Cat de(t. ENVIRONMENTAL SERVICEŚ SAMPLE SUBMISSION FORMI 19 ACÇORD WESTCHESTER COUNTY L'ABORATORIES AND RESEARCH: 2"Dana:Road, Valhalla, New York: 10595: (914) 231-1620 Fax (914) 231÷1772 nehct • NYS-ELAP No: 10108im PrB-Z76O.P-2478P-24751 Form.A7o (ev 10701) @FB. 489 Q-2191 Q-2198 Botle #s: C-1294KTB 0406 K:9919v 9920 Chain of Custody?_ Yes; - Nọ K: 992) Comments: • PWS #: _ Source ID:': _Type Descriptor: _ Bill to: Name/Company . Street City/St/Zip Phone#: _ Fax#: CA,CH, BI? Check#: _ Amount$ BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies)' Coliform MPN. (priy well, raw, stp) Fecal Coliform (all samples) Microscopic = Macroscopic API Other: Refrigerated? _ -yes Chlorinated:? _ yes Free Chlorine Res:_ Total Chlorine Res: _ - no no _ mg/L _mg/L рH 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 Total Organic Halides Solids, Percent (%): Solids, Settleable Solids, Suspended Solids: Totäl. Solids, Total'Dissolved; Solids; Total Volatile! L. Other: = Làb#: 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) Pésticides (525) Carbamate Pesticides (531) Glyphosate (547) *Diquat (549) Chlorinätion Disinfection Byproducts (551) Haloacetic Acids (552) Other Pesticides (SM18/6630) _ UCMR List 1 MIBE Only, (524) +: Ihsirs 2712 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 - Nitrogeni,Total.Kjeldahl as N. Oiland Grease: Phenol Phösphorus;Total as P Phosphorus; Ortho as P' Sulfates! *Surfactants, 7.UV254 Aluminum li Antimony LArsenic 1Barium LBeryllium - Boron Lladmium: Calcium, as Caco:: . Calcium, Cat? Chromium, Total ''Chromium, Hëxávalent" 4Cobalt LCopper roni iLeadi - Magnesium: Manganese: ¿Merculy"s •Mötybdenum witickels _lar. • ORGANIC NONPOTABLE/SOLID ANALYSIS 1 =Pugeabis Arocais (0246328250) - 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); Glýcols in Water: Acid Extractables: (625/8270) Base Neutral Extractables, (625/8270).* LGC/MS Unknown.Scan: Phthalates (606MS) Other:_ Potassium iselenium iSiiver Sodium KThallium -Vanadium -Metals/CN =Volatiles E:Semi: Violatiles: —Pesticidëș/CB's! ICLe -TCLP'Metals** ÷ TCLP Pesticides! TCLP-Herbicides; →TCLP,Volatiles) = TCLP-BNA'S, aisbenti NYC-WTC_000073323 sE vedd"*ir

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