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Chain of Custody Record, Sample AE06301, March 2002

Machine-extracted title · confidence 100%

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

NYC-WTC_000075241–000075251

Folder label: “AE 06301

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Scanned page image, NYC-WTC_000075248
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NYC 9/11 Public Portal Document vcom ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, Now Yoik 10696 (914)231-1620 Fax (914) 231-1772 Time/Date Set: Sample Type (crcle one): :1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: *1120L Collected By: TДV2 Collected From: Location's/individual's Name $Stroet City/StZIp Identification of Source Collection Point. FFNV Agency Code: NEVE: Field Bmuk Bottle #s:1 P4L2 Chaln of Custody?Yes •Comments: PWS #: Bill to: Name/Company Street City/SvZip Phone#: CA,CH, BI? - No Source iD: BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodialysis & all others) Coltform P/A (Public supplies) •Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic : Macroscopic :API Other: Refrigerated? Chlorinated:? Free Chlorine Res:. Total Chlorine Res: -yes _ no . yes no _ mg/L _ mg/L Lab#:. ORGANIC POTABLE ANALYSIS _Trihalomethanes (524) Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticides/PCB screen (508) PCB as Decachlorobiphenyl (508A) Herbicides (515) Pesticides (525) Carbamate Pesticides (531) Glyphosate (547) Diquat (549) Chlorination Disinfection Byproducts (551) Haloacetic Acids (552) Other Pesticides (SM18/6630). UCMR List 1 _MIBE Only (524) RADIOCHEMICAL ANALYSIS Radon •Other INORGANIC ANALYSIS REQUESTED - Lab#: 1 Color _Turbidity pH Conductivity Corrosivity (temp: °C) :BOD (5 day) Carbonaceous BOD (5 day) Soluble BOD (5 day) Chemical Oxygen Demand Dissolved Oxygen :Total Organic Carbon Total Organic Halides Solids, Percent (%) Solids, Settleable Solids, Suspended Sollds, Total Solids, Total Dissolved Solids, Total Volatile Other: Acidity Alkallnity Bromide Bromate/Chlorate/Chlorite Chloride Cyanide Fluoride Hardness, Total as CaCO3 Nitrogen, Ammonia as N Nitrogen, Nitrate as N Nitrogen, Nitrite as N Nitrogen, Total Kjeldahl as N Oll and Grease Phenol Phosphorus Total as P Phosphorus, Ortho as P _ Sulfates Surfactants UV254 :Aluminum :Antimony Arsenic Barium _Berylllum Boron Cadmium Calcium, as CaCO3 _ Calcium, Ca+z :Chromium, Total &Chromium, Hexavaient Cobalt 2 _Copper Iron :Lead Magnesium Manganese _Mercury Molybdenum Nickel NYC-WTC_000075248 nelc NYS-FU Fom70 teд001) 09125 AMA Type Descriptor Faxh :Check# AmOun ORGANIC NONPOTABLE/SOLID ANALYSIS -Purgeable Helocarbons: (62418260) Purgeable Aromatics (62418260) Acrolein & Acrylonttrile (6260) Organochlarine Pasticides (608/8081) PCB'e (Arochlors) 1608/8081)3 Herbicides (SM18/6630,8151) Other Pesticides (SM18/6630) Potroleum Hydrocarbon Scan (310-13) Glycols in Water Aold Extractables (625/8270) Base Noutral Éxtractables (625/8270) *GCMS Unkniown Soan Phthalates (60BMS) - Other: Potasslum L Selenium -SIvere ESödium 1Thallum 1Venadum iZinc CLE Metals/CN Voletles *Semi-violatiles Pesticides/PCBS ICLE STCLP Matak i TCLP Pasticides 2TCLP. Herbicides LTCLP Volatlles® M TOLP-BNAS

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NYC-WTC_000075248Source: NYC Law Department, mirrored locally

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NYC-WTC_000075252 · Box DEP Box 62

Laboratory report detailing ICPMS analysis results for metals including antimony and arsenic in a water sample collected on March 12, 2002.

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