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Chain of Custody Record, Westchester County Lab, Feb 2002

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Documentation tracking the custody and transfer of environmental samples to the Westchester County Department of Labs and Research.

NYC-WTC_000074314–000074318

Folder label: “AE 04381

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NYC 9/11 Public Portal Document Westchester Dov.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 P anela NYS-ELAP NO. 10108 Time/Date Set: mA-z0 (rev 10/01) Sample Type (circle one): Potable 3. Non Potable Treated Bottle #'s: P/053, 6820 Non Potable 4. Other Time/Date Colleciee 2/2102 Chain of Custody? LYes. Comments: Collected By: Lob Agency code: NENE PWS#: Source ID: Type Descriptor: Collected From: Locatlon's/Individual's Name momuere nma Fiell Blanks Bill to: Name/Company Street: Street :City/SVZ|p City/St/Zip. Identification of Source Phone#: ЖFax# Collection Point FBW CA,CH, BІ? Check#:: Amounis 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 :Macroscopic :"API Other:_ Refrigerated? :yes Chlorinated:? _ yes Free Chlorine Res:_ Total Chlorine Res: _ no nо _ mg/L _ mg/L pH RADIOCHEMICAL ANALYSIS Radon: Other Lab#:_ 11202 ORGANIC POTABLE ANALYSIS Trihalomethanes (524) .Volatile Halocarbons (524) - Volatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticldes/PCB screen (508) PCB as Decachlorobiphenyl (508A) Herbicides (515) Pesticides (525) Carbamate Pesticides (531) Glyphosate (547) _Diquat (549) Chlorinațion Disinfection Byproducts (551) Haloacetic Acids (552) Other Pesticides (SM18/6630) UCMR List 1 MtBE Only (524) ORGANIC NONPOTABLEISOLID ANALYSIS Purgeable Halocarbons (62418260) Purgeable Aromatics (624/8260) Acrolein & Acrylonitrile (8260) :Organochlorine Pesticides (608/8081). PCB's (Arochlors) (608/8081) :Horbicides (SM18/6630,8151) Other Pesticides (SM18/6630) Petroleum Hydrocarbon Scan (310-13) Glycols in Water Acld Extractables (625/8270) Base Neutrai Extractables (625/8270) &GC/MS Unknown Scan Pnthalates (606MS) S Other: CINORGANIC ANALYSIS REQUESTED - Lab#: Color Turbidity pH ? Conductivity Corrosivity (temp: °C) :BOD (5 day) Carbonacoous BOD (5 day) 2 Soluble BOD (5 day) Chemical Oxygen Demand Dissolved Oxygen Total Organic Carbon •Total Organic Halides Sollds, Percent (%) Solids, Settleable Solids, Suspended Solids; Total Sollds, Total Dissolved Solids, Total Volatile •Other: Acidity Alkalinity Bromide Bromate/Chlorate/Chlorite Chloride Cyanide Eluoride Hardness, Total as CaCOs Nitrogen, Ammonia as N Nitrogen, Nitrate as N Nitrogen, Nitrite as N Nitrogen, Total Kjeldahl as N Oll and Grease Phonol Phosphorus Total as P. Phosphorus, Ortho as P. Sulfates Surfactants ÷ UV254 . Aluminum Antimony sArsenic Barum _Beryllium :Boron _Cadmlum Calclum, as CaCO3 :Calclum, Ca*ay _Chromium, Tota Chromium, Hexavaient -Cobalt _Copper fron Lead _ Magnesium Manganese _Mercury Molyodenum ! Nickel: Zinc CLP IÇLP NYC-WTC_000074315

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NYC-WTC_000074315Source: NYC Law Department, mirrored locally

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Chain of custody record, Jan 2002 · Box DEP Box 62

NYC-WTC_000073037

Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.

6 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.975

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