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Document / 9 pages

Chain of Custody Record, Sample AE06333, March 2002

Machine-extracted title · confidence 100%

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

NYC-WTC_000075271–000075279

Folder label: “AE 06333

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Scanned page image, NYC-WTC_000075277
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NYC 9/11 Public Portal Document

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t Z Non Potable 4. Other Chain of Custody?^ Yes__ No' / '•'

sg^^Rif i ;;qi>lte^^51^L^^^j^^^n^^odefaZ_ZZ_ Collected Prom: Locatlon's/indlvldual's Name _________ PWS #: BIB to; ,. j Source ID: _ __ _Typ8 Descriptor iy

Name/Company ___;,.._J._________ ____________ --Afa—1 /• ■^^•lOlBfa^faL-BLYfafai^-teSii-.-fa^ifatS--'" fi

F: r^°'®°™^-V7Fs=^------------- • ,2:*5=fafafa±£::;S±^^ 1^- Heterotrophic Plate Count _Trihalomethanes (524) - 'Y Purgeabie Harocbrix3ns (624/82eO), ' Y^ ,, /hemodialysfs&al! others) _Votatile Halocarbons (624) ‘X P«^S« ApSc^'($24/82^1' _ Conform P/A {Public supplies) _^CoI{forrnMPN(privwell, raw.stp) __ Volatile Aromatics ’ ggyoW^rlP^^hMy-Y//;^ Mlcro8xtractabtes(504) >;,yY; Wfe '^^:P<^Oocp^)Osq8mi)YY/^^^ ifa_ 8creen(508) '/r;‘^HO|tde4t^tS/3^,81S1)iYiY-l;^ IS < Refrigerated? _ yes__ no fa-&gfe;gwL-j°X ; __Haloacetic Acid8 "'(§52> v;;, Y; ■ ■/Y-A;fas^?BiYOd^^g^E^^M-fa2^isSwS ^WSO'S^ .^qthei^e8B^-W8/66^L/:Y^Y^ll^giiOl B^ I?’ w JCHEMtCAL ANALYSIS I ■■ ' ’ ’ 4 ,- #

- ■ &EYEW^OSw INORGANIC ANALYSIS REQUESTED - tab#:

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_. Conductivity ?&'- - BOD (5 day) __ -SSSi Y. ■ :■ ,'„■ i ------'®’ ..... >a«®| 1 GdrbooacsousBC® (5 day) faXS . =?SgU f--'-3 S7~7 • A : "gj^xCRdRBS: QxygenDemand _^Totat OrgahIcCarbon __ Total Organic Halides > -s£^' ■ Sends, Percent (%) _ Solids. Settleable fafcxn.% "■ HW ’W i ■" ■'■1 _ Solld3, Totan3ts8Olved < ' ■ . faWn^MM .V Afei^ < /: ^/Sarfactohfe' z5SS» : ■■ s fc'i-.3Ss NYC-WTC_000075277

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NYC-WTC_000075277Source: NYC Law Department, mirrored locally

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