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Document / 11 pages

Chain of custody form, NYC DEP sample AE05031, Mar 2002

Machine-extracted title · confidence 100%

Documentation recording the transfer and handling of a water sample submitted to Westchester County Department of Labs.

NYC-WTC_000074622–000074632

Folder label: “AE 05031

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Scanned page image, NYC-WTC_000074632
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NYC 9/11 Public Portal Document

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- WESTCHESTER COUNTY LABORATORIES ANO . 2 Dana Road. Valhalla, New York 1059S:-Y BXfv

san.pl.>. droleone):.. \ -, Y '' 1 .Ppteble; 3. Non Potable Treated, , ........... ....................................... ■; & |/•prh^ate■Cojlectsd;___2^ f Collected By: LW(^'Y Abency Code: f - CoHected From: < Locafion’s/Individual’s Name _ _j_ ■ ■ stre.t__J~iY22~2ZZZYYZEZZZSEY 1 y,ci»/srap----- ___ wn.^ ittYM^Mstfa^sgiaB I I I'ldenWcationof Source______ > .^action Point---------- --------- s'4 ; • • •■; '■•■'■ ' '■■■.■ " • ■ -'

I jBACTEFUOLOGICAL ANALYSIS

I ^rtdieMt^ic'Piate Count ORGANIC POTABLE aSalys^^ '+J®«a4f(iaaifejlsia^fa»^^ I & aH others) i'^^Tdhafotnethanes (524)'< ' ■ * /YWCollfonn P/A (PubHc supplies) it Volatile Halocarbons (524) ’ iL. Coliform MPN (priv well, raw, stp) <_ VolatlleAromatlcs. (524)-/ \ '.4-. Fecal Coliform (all samples) i_T53tai TrihalomethanePotential (510)/ YL Mtoroextractables (504) ....r^-arafi M Pesticides/PCB screen (508) u- PCB as Decachlorobiphenyl (508A) «Sy- yes no MHeitoicides (515); _ Pesticldes (525) _ Carbamate Pesticides (531) Hi yes__no Glyphosate (547) Ill3l^uat;{549)'Y - ■..; ______ mg/L _CbIorinatton Disinfection Byproducts (651) Jlj^l GhIoriheRes; mg/L _ Heloac^c Adds (552)' ^S&.V’k •/' ’ _Oteer Pesticides (SM18/6630) , . _:a<5MR£i8t1 • ' • EMICAL ANALYSIS _MtBE Only (524)

C analysis l«QUESTE^^^_h<>^ SIB SSWM IIB Ia l^sBpO (6 day) rlO^genSmand . _.FIuc^e T _ Hardne^.Total as CaCOs '1 ygen ; __ NltrdQen,.Niibate as.N""•z ; Y_; TW Organic Carbon _ Nitrogen. Nitrite as N ’ _ Chromium, Hexavalent hiYFl^t^^ioHaiides ,- _ Oil and Grease Y.. ;-22 Phenol . .; , _ Ptwhofus Total as pF ., ■, _ Copper KiOl .A-3

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NYC-WTC_000074632Source: NYC Law Department, mirrored locally

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