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Chain of Custody Record, Sample AE06054, March 2002

Machine-extracted title · confidence 100%

Document tracking custody of a sample submitted to Westchester County Department of Labs & Research.

NYC-WTC_000075177–000075181

Folder label: “AE 06054

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Scanned page image, NYC-WTC_000075178
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NYC 9/11 Public Portal Document Westchester ov.com ENVIRONMENTAL SERVICES SAMPLE SUBMISSIÖN FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 . (914) 231-1620. Fax (914) 231-1772 Time/Date Set: INYS-ELAP No 10108 Form A-70 (rev 10/01) Sample Type (clicle one): i1. Potable •3. Non Potable Treated 2 Non Potable 4.Other Time/Date Collected: Collected By: Cab Collected From: Location's/Individual's Name Street City/StZlp Identification of Source Collection Point Agency code LENt eld Blank Bottle #s: U 3078 Chain of Custody? Yes _No Comments: PWS#: Source ID: Bill to: :Name/Company Street City/St/Zip Phone# CA,CH, BI? Check#:_ 57 P1O49 34 Type Descriptor: Fax#: -Amouat BACTERIOLOGICAL ANALYSIS Lab#:: Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A" (Public supplies) Collform MPN (priv well, raw, stp) ,Fecal Colfform (all sampies) Microscopic Macroscopic APL L Other: Refrigerated? ,yes no Chiorinated:? Free Chlorine Res Total Chlorine Res: mg/L mg/L pH RADIOCHEMICAL ANALYSIS Lab#: ORGANIC POTABLE ANAL -Trhalomethanes (524) Völatile Halocarbons (524) Volatile Aromatics (524) .Total Trihalomethane Potential (510) Microextractables (504) Pesticides/PCB screen (508) PCB as Decachlorobiphenyi (508A) Herbicides (515) Pesticides (525) ¿Carbamate Pesticides (531) :Glyphosate (547) Diquat (549) _Chlorination Disinfection Byproducts (551) :Haloacetic Acids (552) :Other Pesticides (SM18/6630) EUCMR List 1 #MIBE Only (524) Radon :Other INORGANIC ANALYSIS REQUESTED- Lab# Acidity Turbidity pH "Alkallnity 2L-Bromide sinim Conductivity _ Bromate/Chlorate/Chlorite Corrosivity (temp: °C) , Chloride BOD (5 'day) Cyanide Carbonaceous BOD (5 day) Fluoride 1 Soluble BOD. (5 day) Hardness, Total as CạCO3 1 Chemical Oxygen Demand Nitrogen, Ammonla as N Dissolved Oxygen Nitrogen, Nitrate as N •Total Organlc Carbon Nitrogen, Nitrite as N :Total Organic Halides Nitrogen, Total Kjeldahl as N Solids, Percent (%) Oll and Grease , Solids, Settieable Solids, Suspended Phenol s Phosphorus Total as P = Sollds, Total Phosphorus, Ortho as P Solids, Total Dissolved ¿Sulfates Solids, Total Volatile Surfactants in ii Other: LUV254 ORGANIC NONPOTABLE/SOUD ANALYSIS Purgeable Halocarbons (62418260) Purgeable Aromatics (624/8260) Acrolein & Acryionitrile (8260) Organochlorine Posticides (608/8081) PCB's (Arochlors) (608/8081) Herbicides (SM18/6630,8151) Other Pesticides (SM18/6630) Petroleum Hydrocarbon Scan (310-15 Glycols In Water: Acid Extráctableis (625/8270) Base Neutral Extractables (625/8270) GC/MS Unknown Scan Phthalates (606MS) Other: Aluminum _Antimony Arsenic - Barlüm _ Beryliium Boron _Cadmium _ Caldum, as CaCOs Calclum, Catz ! _Chromium, Totat -Chromlum, Hexavalent _:Cobalt Copper -tron Lead _Magneslum _ Manganese _ Mercury Molybdenum E Nickel Zinc ICLP TCLP-Metals - .TCLP-Pesticides 1TCLP-Herblcides _ TCLP-Volatiles TCLP-BNA'S NYC-WTC_000075178

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NYC-WTC_000075182 · Box DEP Box 62

Laboratory report detailing ICPMS analysis results for metals including antimony and arsenic in a water sample collected on March 11, 2002.

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