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Chain of custody record for DEP samples, February 2002

Machine-extracted title · confidence 95%

Form documenting the transfer and analysis of environmental samples collected by the Department of Environmental Protection.

NYC-WTC_000074336–000074340

Folder label: “AE 04385

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Scanned page image, NYC-WTC_000074338
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OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Westchester T0v.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 :Time/Date Set: 2F06970:2819 0-2820 Sample Type (circe one): 1Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 0940 Collected By: L Nagner Collected From: Location's/Individual's Name NYC Street 19 Westlake ctystzp Valhalla ;Ny10s9s Identification of Source Collection Point_CRO GH PFG-1109 P-2023 P037 Bótte 's C-1SS3, KiR-0299 Chain of Custody? Yos No 2-22-02 Agency Code: Comments: PWS#: Source ID: L DEL Bill to: Name/Company Street City/SVZip Phorie#: CA,CH, BI? BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodlalysis & all others) Coliform PIA (Public supplies) Coliform MPN (priv well, raw, stp) Fecal Collform (all samples) Microscoplc : Macroscopic AP! Other Refrigerated? Chlorinated:? . yes yes Free Chlorine Res: Total Chlorine Res: - по no mg/L mg/L рH Lab#: ORGANIC POTABLE ANALYSIS _Trhalomethanes (524) *Volatile Halocarbons (524) e Volatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticldes/PCB screen (508) PCB as Decachloroblphenyl (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#: 4438 Color Turbidity .pH 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 Halldes Solids, Percent (%) :Solids, Settleable Solids, Suspended Solids, Total :Sollds, Total Dissolved Solids, Total Volatile Other: 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 Nitrogen, Total Kjeldahl as N Oll and Grease Phenol Phosphorus Total as P Phosphorus, Ortho as P • Sulfates Surfactants UV254 Aluminum L'Antimony wArsenic *Barium te Beryllium iBeron Cadmium : Calclum, as CaCOs Calcium, Cat2 Chromium, Total -Chromium -Anromium, Hexayaen cobalt copper Magnesim Manganese teMercury dz Volybdenum eNickel NYC-WTC_000074338 NYS-ELAP No. 10108 orm A-70 (rev. 10/01) 4-36LK362 vaSb Type Descrptor: _Fax#: Check#: Amounts JORGANIC NONPOTABLE/SOLID ANALYSIS ,Purgeable Halocarbons (624/8260) - Purgeable Aromatics (624/8260) Acroleln& Acrylonitrlle (8260) Organochlorine Pesticides (608/8081) :PCB's (Arochlors) (608/8081) Herbicides (SM18/6630,8151) ( Other Pesticides (SM18/6630) :Petroleum Hydrocarbon Scan (310*13) Glycols In Water _ Acid Extractables (625/8270) Base Noutral Extractables (625/8270) JGC/MS Ünknown Scan _ Phthalates (606MS) Other. CLP IcLe -TCLP Metals TCLP Pesticides - TCLP Herbicides TCLP-Volatiles TCLP BNAS

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NYC-WTC_000074338Source: 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.

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Laboratory report detailing ICPMS metal analysis results for drinking water samples collected in Valhalla, NY in February 2002.

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