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Document / 5 pages

Chain of custody record, Sample AE 06050, March 2002

Machine-extracted title · confidence 90%

Form documenting the chain of custody for sample AE 06050 submitted to Westchester County Department of Labs.

NYC-WTC_000075155–000075159

Folder label: “AE 06050

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Scanned page image, NYC-WTC_000075156
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NYC 9/11 Public Portal Document

.'XI; __ ,;(W231-1,B20;Fax'(914)^^725^ <k?’ Time/Date Set:

Sample Type (circle one): Vl.^ble' ftKMonPptebleThs^^X

... ;SO3Si8liliSB Potable ' 4. oth0r ' Tlme/DateiColIeetedr/^.: CollectedBy: Agency Code: — S-PWS -ft f;;"' / Locatton’s/lndlvlduars Name

__444_________ ' Clty«t0p'___X---M--WS3SS4iSB3OS I Identificatlon of Source ■ • •' Phone#: . X'. I ftCollecHmi Point 01^ CA.CH, Bl? ^4^14-4 Ctiec^ 14 t BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS I ii (hemodlalysls&all others) j. , __ Tiihalomethanes (524) _ColiformP/A (Pubilcsupplies) ■ X^ Vdlatlle Halocarbons (524) ^ Volatile Aromatics (524) . _ Acrolein &Acryloriitrite (8260) : ft - ^ _ Coliform MPN (priv wtl, raw.stp) _ Fecat Coliform (all samples) • iXT^ITVIhalomethane Potential (510) . __ Organochlorine PesHcidas (808/8081) ?,.; / _ Microscopic .YMicroextractables (504) a PCB’S (Arochlors) (608/8081) ; . -^^ _ Macroscopic \4Pesticides/PCB screen (508) ' ii HertBdes ;^^^Ba8 Decachlorobiphenyl (SOSA) other Pesticides (SM18/8630) . V e ^'Api-/"’.:x

& i Other XXi— Rafrigerated?___ yes Ct^nated:? _X_ yes i -no no _ Herbicides (515) Xi^^^cides (525) Xi^rbamate Pesticides (531) —Glyphosate (547) XX;^uat(549) X Petroleum Hydrpcarbon S<tah (3lQ-13)/; Y| Jt-'Glycpis . Acid Extractables Base Niiu^’E^itaic^^ . ^CflVIS Unknown Scan Free ChlorineRes:____ _mg/l. h’1^1 Chlorine Res: XXj __ ,mg/L ' x_GhIorinatlon Disinfection Byproducts (551) _iHaloacettc Acids (552) _4 Phthalates (606MS) 4. Othl^____144 XXOdier Pesticides (SM18/6630) ./i ..-4_<__—4X fW —UGMRListl w RADIOCHEMICAL ANALYSIS X^^^E Only (524) j;-/.-': ;•/« _;_Radon '• • —I _Other '■

WORGANICANALYSISREQUESTEP-Lab#: ' Color .. ..... . ' __Aluminum 5. >.a Po&E^yrrt: t ..V _Anttmony .^XtaenlG ; ? I? •/Y'^Bel^m" pH ; _ Conductivity __Bromate/Chlorat0/Chiorita 4^B^m-',-/4"ft ' /. asodiuitt';:/' _ Corrosiyity (temp:__'’C) _Chloride .^Beryllium _Thalllum a-;BODi(8ttay) ‘4. Boron-; Y: a Carbonaceous BOD (5 day) ; . . „ Cadmium •/* ;4Ll?lnc ■ -k';. taSoluWeBOD (5day). Total as CaCOa __ Calcium, asCabOa sue",/. x?’ I a. Cheffnlpai Oxygen Demand „DissotvedGxygen /a; Total Organic Carbon . 32;WllT0^i __Nltrogen,Nitrate as N h^en. Nitrite as N ; N _Calcium, Ca^Y _Chromium,Totat _ Chromium, Hexavalent „ Seml-vlolatiles IS _ Total Organic Halides _^ NitrQgen, Tbtal HQeldahl as N _ Cobalt _PestIcides/PCB’s a soiW8> Pe«^t (%) „Oi(and Grease __Copper ¥ __ Solids. Settteable 4/ Solids, Suspended „_ . Phosphorus Total as P Irort./' _„Lead? - TCLP

ft Solids, Ibtel' ; ? _4 Solids, Total Dissolved iRhdSiitotat Ortho aS P a Magnesium _Manganese •' _TCLP-Pestlc!des _TCLP-Herblcld0s IS ii^rSolidsi Tbtal Volatile Mercury .Y ^TCLPAfolafltesY . 'itew-1 t-; 4,.. OtfiSr: =W"“ ' __ Mdybc^um _Nlck^ ' Y / ■

NYC-WTC_000075156

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NYC-WTC_000075156Source: NYC Law Department, mirrored locally

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