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Chain of Custody Record, Westchester County Lab, Mar 2002

Machine-extracted title · confidence 95%

Chain of custody documentation for environmental samples transferred to the Westchester County Department of Labs and Research in Valhalla.

NYC-WTC_000074897–000074906

Folder label: “AE 05301

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Scanned page image, NYC-WTC_000074901
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

7' 15

asi I .y .•'• -n ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla. New York 10599 ,._. ...y^ ?) (914)593-5579 nme/Dat© Set: ^A-7Q(reY.W) /J

Stompteiype (circle one): potable 3. Non Potable Treated Bottidjrs: 2. Non Potable 4. Other , ...■ . Ctem of Custody? i_4w»X- -2?1 Time/Date Collected: C-^ifP /4/r >r- Commente: 'J/ ; 6dBectedi^:^-^<^M^<gK AganeyCode: pws a Collected From: Location’s/lndividuars Name. Street ________ . NKneiCdrapi^ ,Y -1' j City/St/Zip_„___ City/StZap„__. 7^ 3 t . Identification of Source 2__< t Coilectfori Point rcASSTBfFZZ- BACTERIOLOGICAL ANALYSIS ' ORGANIC POTABLE ANALYSIS 0 y'^Y< (circle tests) '........... ■/ye t.Heterotrophlc Plate ■ 1. Trihaldmethanes (524) 0<. ^.. f Count (hemodialysfe & all others) 2.Vol8tiieHalocarbons(524) y y. t M /(puW supplies) 3. Coliform MPN (prfv well, raw, stp) 3. Voiatite Aromatics (524) 4.TotatTrihatom0than8PQtential(5iO) s*®s«SSS'« * poBlfoml (an samples) ■9.;P^s8d^;(6Qh'^^^^ J' aa?. ’6."PCSi wj^D y .■>

A. Wil ft 7. P8sticid©s/PCBscreen(508) 8, PCBaspecachlorobiphenyl (508A)

i Refrigerated? _ yes. no I .cO^^—'y»s. __ no 11. Cart^amate Pesficides (531) la Olyphosede (947) , Oa !/'(62Si t Free Chlorine Res: SUton%nfection Syproducts (K

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^Aluminum §I

■ ’ Av 21.Alkafln«y.asCaGO3 j^’Antjj^ny 5

iSM K/YSj iSLjpH 7 y22^BfdlW'< ,;y ; ■ ■< .3- ' ■ 4,-C<»^jC^W YJ^^^^^ChlorW/CWdrito, - ;'

7.So|ubleBOD(5day) « sjijs^ya 8.Carbonac8ousBOD(5day) r&8*» *■< HOE--:.;- wS S. Chemlcai Oxygen Demand lO.Dissolved Oxygen sagjiaa?” nSn^ftial ■'/■ .' 3..*y its

ifc; H-TotalOrganicCarbon 12. TotaI Organic Halides 13. So«ds, PerC0n{ {%) ® ‘........... L3Si3^Ia5Si^ stt# 14.Solids.SeW§able 15/Solids, Suspended 34.Phosphorus Tbtal asP ;53.Lead iW t^8ollds,Tt^ 35. Phosphorus. Ortiio as P 17. Solids, Total Dissolved 36. Sulfates

IS J l8.Solids, T^ai Volatile 37. Surfactants <f^Other;JZn 38.UV254 o Y ■s. Ml ■ gSB8 NYC-WTC_000074901

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NYC-WTC_000074901Source: 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.

10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.981

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