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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_000074629
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Bi^^^^^^jn ^ESTCHESTERCOUNTY LABORATORlES AND RESEARCH . .Y'. . . p'' Y2 a .i. , (914)231-1620 Fax (914) 231-1772 . , X-NYS-ECAP No. 10108/ Formfr70{rev.ia®l57 (drdeone): - p Npn Potabte Tlsa^ •'’•i. IV - '■ -V

4. 0th^ . Chain of Custody?__ Yes___ No « Comments:___. Agency Code: _ Source; IDiY’.,. yY' ' -.i-T^ Descrlptor_____, ■ \ . .. . ■.■. "B|«?to;.. " - >■.•■ '■ ;'"i. ; x '■■:'■:-■■" V’ • Y; z.

Locaiion's/lndividuars Name Nanis#Cc»mpahy_; '■ Street V'-.L. I lOy/st/zip X <y ' Clty/St®p___ I |pi»ti8f^satlon of Source I O^isoBoh Point. Phone#; Y 3® j CA,CH, Check#; ___Amount$. b- “ - . •■ • r‘ , ■ f ■ ■.•J

' rEWOLOGICAL ANALYSIS Lab#;

ORGANIC POTABLE ANALYSIS /./\.//W;Wfc/w^®Z/S®sSfl ' ORGANlCNONPt^BLE/^LID ANAlYSiS __ Trihaiomethanes (524) ’ _ PurgaableT-iatortjons (624/8280) SlClitonrt P/A. (Public supplies).. 42; Volatile Halocarbons (524) ^OJ CpIiform MPN (priv well, raw, stp) _5i<Volatile Aromatlos (S24)

-^essmsow^t ■4 ;B2Pecal Coilform (all samples) Total Trihalomethan© Potential (510) :’^ Microscopic " __ Mlcroextractables (504) ^ Matatscopic ' __ Pestlcides/PCB screen (508) _ PCS as Decachlorobiphenyl (508A) __ Herbicides(515) ;™2Y^£;YZZ , ; _ Petroleum Hydrocarbon Scan (310-13) ' ; I _ Pesticides (525) yes __ no __ Carbamate Pesticides (531) Y_'Add fextractables (625/8270) ' yes no _ Glyphosate (547) _Diquat (549) _ Ba8e Neutral Extractables (625/8270) , . . _j£<<3C/MS Unknown Scan y I mg/L mgA. _Chlorination Disinfection Byproducts (551) „ Hal6acetlc Adds (552) _ Phthalates (606MS) _ dther_ ■ - _ . _ - '^ ' Y . .. " I -ANALYSIS _ Other P8stlclde^(SM18/6630) „UCMRLfeT ? ’ „MtBE Only (524) - ; < •’i

I 'id ill /X'>cldity£-v,r • • -' ■ XMuminum YZIYz ^Potassium ' - ^jS Yil?™.TnrWriitv K. . __AlkalinityYH '- < ; j^AnUmony —Bromide ' ■’• ■ t j-^Barium " ,, ,'......... •. z.Lj^eiyHiua;^.»<f£■ ' Vanadiuni - ‘ " ©.(5di^Z'^',<:^^Y^Za^J'ftB^S8/Tbtd'd8'CbCO3 ’:' /-'2Y.'C^uni^-(3d1^CCfe''Y"Y Oxygen ' -zaw?" 3«x - 1’ '> * ' -

l^S hic Carbon

•cent (%) . ■ z»5aB«a— il-ylolafiles * - '

zSST ’" ” ' ■ Yrus Total as P .j^ead - -Y pru^, Ortho as P __ Magnesium

Si 1

NYC-WTC_000074629

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NYC-WTC_000074629Source: NYC Law Department, mirrored locally

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