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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_000075159
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NYC 9/11 Public Portal Document

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gStn WESTcHe^iR'-^gi||nr laboratories and research '' ’A- YiiY,Y ■Ya2D^‘^f^d,'Vbihalfe,.Newytork/105^ ; / J i(^^^R620 Fax(914)231-1772 //■' atA/iWISSs w ,Time/DateSet; /•Y;.T. <’

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Bottle #’s:________ ._______ ■ Chain of Custody? _Y. Yes___ No ' i ^rn^ate’C6llei(^: Comments: recollected "'"'P^^yY 'Y. / CblteOtedFrom: Yt '''/a'Y'Y/j/ '; Lbbatorj’s/iridivlduai’s'Narne'/y-Kfei^^ , /' .iUijnd/ConvwtyLjlY-Y^Y^^^ I Y'l<^ntificatio>»of^HTO~IZ__ZZ3^ Phone#: ' I / BACTERiOLOGICAL ANALYSIS Y 'Lab#:/; . ' Y';- Y Y- Y Lab#:__________ _ ORGANIC POTABLE ANALYSIS -^/;K^;'^://iii«Yiia :4.V:

: _ Heterotrophic Plate Count _Trihalom0thanes (524) A (hemodialysis a ail others) Coliform P/A (Public supplies) • _»j-Votatlle Halocarbons (524) , . Purgeable Aromatics (624/8260) . \ I Coliform MPN (privwelt. raw. stp) ? _i: Fecal Coliform (all samples) _ Microscopic _ Macroscopic - _l.'api; ■ ■ _*rVolatiIe Aromatics (524) _ Total Trihalomethane Potential (510) __ MIcroextractabies (504) __ Pesticldes/PCB screen (508) __ PCB as Decachlorobiphenyl (508A) YY; Acrolein & Acrylonitrile (6260)

<1 ^Y’Other/;/’. ' _Herblcides(515) Petrof^urn:Ryd^£arbd4..Scan/:0'1(L.13)'YB^H " ; ■,4l,Gly<»l8'KVV^'"YY^/;Y/'YYviY-/^^ S»is ft Refrigerated? Chlorinated:?yes yes no / no __ Pesticldes (525) _ Carbamate Pesticides (531 )< Glyphosate (547) //. Acfo|^b!^^i^2/B)'Y/;Yl® __ Bas8 NeutratExtractabla3 (62S/827Q) ' / II __Dlquat (549) _^-GC/MS Unknown Scan n Free Chlorine Res:': ' ■' - mg/t ' _Chlorinatlon Disinfection Byproducts (551) Phthalates (808MS) , , Tbtat Chlorine Res: mg£ _ HaIdaoBtic Acids (552)-’^“ __ -2.' OthertYBYZi-SY^^ _Other Pesticides (SM18/6630) _UCMR Ust 1 RADIOCHEMICAL ANALYSIS _MtBE Only (524) V' ^Ftedon-T'\, ; ;-■ _ Other

INORGANIC ANALYSIS REQUESTED - Lab#: _ T .................... a O’Color Y—Acidity ' ; .J^Wuminum . _Turbld|ty Y^ Y_m^ Alkalinity _^Antimony , /~>PH'/Y':- , Bromide , _i_Arsenic Y_ Conductivity Y__ Bromate/Chiorate/Chlortte .j-^Barlum YY Y— Corrosivity (temp:-__’C) Y .i^ryllium / ' T _ BOP (5 day) / _ Cyanide -_'BqrbnY- .''-?: Y^ Carbonaceous BOP (6 day) Y/YL-RuorWe. ■' Y'--'•Y6flWinHmi''YYY?.,V-'' _ Soluble BOD (5 day) / _ Hardness, Total as CaCOs _ Qaldum, as CaCOs Chemical Oxygen Demand /.jNItri^g^ __Caiciurn,Ca*’Y DIssolvedOxygen Y_J Nitfogen, Nitrate as N ^^Chromium. Totai - Total Organic Carbon ' •''iY- Nitrc^ri, Nitriteas N Y_Chrdrhlum. He)«valent __ Total Organic Halides _ Nitrogen. Total Kjeldahl as N jiCobalt J ■'/a Solids. Percent {%) / _ Oil and Grease ^^jCopper _< Solids. Settleabte . H _ Phenol, / Ytt info _ Solids. Suspended __ Phosphorus Total as P ^Lead a __ SoIids, Totai __ Phosphorus. Ortho as P _i. Magnesium _ Solids, Total Dissolved c _Suifete8 ^Manganese * ’ /Y^TCtF^rterbicldes V' _ Solids. Total Volatile i __ Surfactants /-tWcury YA^ A/k u. Other t i __TCLP-Volatlles _UV254 „TCLP-BNAs y.-f'i-/•r if..-- •-

NYC-WTC_000075159

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NYC-WTC_000075159Source: NYC Law Department, mirrored locally

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