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Document / 5 pages

Chain of custody record, Westchester County Department of Labs &

Machine-extracted title · confidence 95%

Form documenting the chain of custody for samples submitted to or received from the Westchester County laboratory.

NYC-WTC_000075043–000075047

Folder label: “AE 05895

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Scanned page image, NYC-WTC_000075046
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

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|g^gSS«;^XXYEY£X_XSXlXlilViFSSOE SamplBTyp© ; . : 3. Non Potable Treafed ; << ao«ie(fj;,Xca322j*uu<aH£;JOiiLk^ , 2. Non Potable 4. Other________________________ Tirne/Dafe Collect^: --------- ' Comments: __ _____________________ XXX2^3

1 H :fc«aioiwUdW»‘Ndn«.LJi^L-e&»_;_____ : Agency Code:---------- _

■ZS— PWS#:„----------- Source lD:----------------- Type Descriptor:

. ■: ■ -. Z!'7/Str^tZlBffl Ctty/S^p^ t Idenflfication of Source Phone#:™ 4 CA,CH. Bl?

iSACrTERIOLOGiCAL ANALYSIS ORGAN IC POTABLEANALYSiS Organic NONPOTABLE/soLiDAfto _ Hrtemtropblc Ptatt OoulK t 'f^hemodialysls & aHothers) __T>halomethanes(524)

I £_Collform P/A (Public supplies) _E. CoBform MPN (priv well, raw, stp) j/Volatlle Halocarbons (524) .^x^olatile Aromatics (524) _ Purgeable Aromatics (624/8280) ■ ' 7X^"A<^li^.A^Abl^rJltHie^':^^^ 1

I Cbllftwm (afl samples) „ Total Trihalomethane Potential (510) ,^ 0rganochlorine Pesticides (6O8/8O81) Y:Y __ MlcroextractaWes (504) ■ /., Xi7^(^or®):/(668/d(ml^^ I X?Ma«Q»copfc''' a*. .X-APE^;Y _ Pesticides/PCB screen (508) _ PCB as Decachlorobiphenyl (508A) ■••:X-Herbl<^'(^M18/8630;8l54)XS ‘^;x^ .: :,,x?Pthef,^cide8.tsMWWR?W II _no . _ Herbicides (515) _ Pe8tfeldea (525) __ Carbamate Pesticides (531) • ., : ^^Gh^HV^ier

■ Chlorinated:?__ __y^_^_ no _ Glyphosate (547) ■ Y j Lij^lK^iUnle^^ _Dlquaf(W9) Free Chlorine Res: mg/L _ Chlorination Disinfection Byproducts (551) • •:' x;Wie^(^!i^)E?/Y7>S®^^ ...l^^^lOflHe ____ mg/L _L;HaloacetlcAdds (552) ■ ■ -X''' Pihiir;!XXXxX3Xl^^^aS

sft^»x3|^x x^ -RADIOCHEMICALANALYSIS _ Other pesticides (SM18/6830) „UCMRLlst1 i __MtBE'Only(524) >' : pother- I ANAiySIS REQUESTED - Lab#: _______ I "L?^lor ’'_Actdlty "’EW* ' ■ ,;<.<l^-AI|<atlhlty.'<?' Z srSwe -^>7 ' lumtnum pafMTttf' ' li I -X.,Corrp8iW 'W;Wayc8W""7. "WV (temp:_----- ’C) Bromate/Chlorate/Chlofite L_ Chloride ■; ^BOD(5day) ^CyanWO \'^^Wurn. <//• eS' BPD (5 day) _ Fluoride ..r-YX- ! X. Soluble Bilto:^ day) Hardness.Totai as CaCOa ^-1 Derhand __ Nitrogen, Ammonia as M Ca*i :XCDte8dve<tO)^rt;YY-‘ _W^eh^f4itrate M M; Y^li^pwomiur^^ _ Metat8/CN ; «4 Carbori _ Nitrogen, Nitrite as N , ■ lu^ Hexavaleht 'X-^lOfSanic Halide®: „ Nitrogen. Total Kjeldahl aa N ? __Seml-vfolatll8s t _ Solids, Percent (%) __ Pestlcldes/PCB's YJ>W _U.'<)ir 0W4 Grease' r _ Solids, Settteable Phenol ; . / ■e./ee M' ..................................... ’

TCLP YYv ..

Xxsofes. Suspended ■:/ ■ „ Phosphorus Total as P _TCLP-M8t .O7SQlld8,Tbtal/sS/<-./: __Pho8phoru8, Ortoo as P _So!ld8.Totat Dissolved ;X S^ wy^tetlle Y ^SuWetes _Surfactant8 x^®^ 1 - X 7sw«»^ NYC-WTC_000075046

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NYC-WTC_000075046Source: NYC Law Department, mirrored locally

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