Chain of Custody Record, Westchester County Lab, Mar 2002

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMlSSI^-POftM ’ san t WESTCHESTER COUNTY LABORATORIES AND RESEARCH '

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s ■■ ■■' "• ‘i-*' ■ '■" YY u stt> 3»x«/ ps ’^tifonpStable Treated ;/■ 4.0^er /.. ................. BOW.».: 1^7^15 fc637 k’^^Urvc^teyI ,Ch^^Cu8^?i^YBa5B;^Nd/Wi!^^ Time/Date Collected; * QCi^ 3? > ■ ■;/ B'S :MOcliBd'^^ Agent^Code: 3^

I 'str^t_fiiwO2EcZS2lK^ Locatlpn’is/lndl^ual’s Name • T if -2.S _ Bill to: Name/Companv ‘. ' - ' ; > M Z’.!? jl;" /■■'St^Z/Si2SMSS®0Si£i^zrsSfa|2^^ I C!ty/SVziZ_ISSAir2_7Z^^ _' ;YC«y^pfe2iBIB2il2M^ UfentWcatiort of Source ___H_--3-_£_-L___^^ __ Phong#: ' , - *. ,■< 7^' ’ Fax#: S ''BXw.i-ii-ZZZn3-IS^Z-B£^^ “ | CACH.BI?_______ 1: Check#: ' : AftteJntS - i

Ss; ANALYSIS' - ;Lab^:^r''-^^;'- ORfi^lC POTABLE AFD^S ^^" < ? :S' PRCANlCNdNPOTABLE/SCUD WLYSlS^ I I ^^jL'Heterotrophlc Rate Count : Trihalomethanes (524? - I ®^®e'Halocarbdn8'(524) I 1^ (Rjbifc 8u^^ ;a/^'Aromatic8;(524) ; I I _‘Co!lform MPN (priv well, taw, stp) ;^WTrihaIomethane Potential (510) _ Organq^Iorin©P8sticlde5 (608/808l')

5^ _:F8Cal Coltform (all samples) ■ iMha^jJic/ . V^iBWosropfc''^- '■ :■> 1 '.'_ Mlcroe^ractables (504)

sW»O«§^^i/:Ml«W8WBW '* _ PCB's (Arochlors) (608

k’-X’ ’’ % ^W®^ed?<ii^ye8_^ z-;,-.;- W3wOfe^^» a^M •/r?Halda<aBtfc'Acl<ie-(552) :Ofe^SMW—amS5n2u--.- ifclESHISZII I ' /;■ other Pesticides (8M4a«630f. zzo : —MtBE Only (524) ;, . . _. J. -?<^r - ; 352jysis 1 _; ,;

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