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Document / 9 pages

Chain of Custody Record, Sample AE06406, March 2002

Machine-extracted title · confidence 100%

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

NYC-WTC_000075296–000075304

Folder label: “AE 06406

Page image
Scanned page image, NYC-WTC_000075303
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

i; ■iM?S5T environmental services sample submission form WESTCHESTER COUNTY LABORATORIES AND RE^SEARCH ? Km

rf:??AA 2 Dana Road. Valhalla. New York 10595 < { A Z (914) 231-1620 Fax (914> ?31-1772 . 11 ............ .s SiQ<>!£rtoa^^ i: Set: Tlm^ate ft’YYYiftftft.-ftftft^: ft.:'ftFomlA^(mu10«)1p fe,: ft,,.;,,, .

I •ss—x^-,; 2. Non Potable 4. 0th8r__j^L«l£Miil__:J-/tl^ .»,^SS5Y2S5 Chain of Custody?___ Yes___ No ZZ P .,7*7 . Time/DateCollected: .L_._______________L__^__.Y_.'; ftCowirtiiBrite;'ft'"^^'Y ^;;yM:;vWYiYY^-yY;$ft;YftiYyYy;^Y^;2^^

I ^^®ncy Ctotte:ft_:_ft.__.__ ' 1l^’*fc’7M-.-;-^|^'^ur^'iP:1ft^^ ' ?2 ft' '''^ "ftft'ft<-X7-.Kft:''ftYftBiit'^^'Yft7 Si street City^t/ap city«tcap Identification of Source r c^^oi Point _____ sr I CA.CH.BI?■ft:--ftYCheck#: ftft;ftAft Amounts : J 'ft; A

SACTERIOLOGICAL ANALYSIS

Plate Count i . -Wbrn^MM (524) 2 IM;»i4bl^HWoSW !62-W8260! ' ,1

„ Collform MPN (priv well, raw, stp) ; YSSXftft?" =»«Wr’ S I Fecai Coftform tatl samples) zX:^SS^T"“ __ Pestlcides/PCB screen (508) Y ft - <- WwWwB# __PCBa8Deoachlorobiphenyl (508A) __He«tt^ '(5t5)'^z- ■' ft- ft- ft' MS -' 1O E'^-1 _yes__no _Carbamate Pesticides (531)' y ;■/ .,; 7;yY^^ yes* no ■ PWwi^ ' ZCL<O\ . \;. ■- "'• --'ft ■ Y -...ft

rRe^ fo( fe. ■ tng/L _ . _.„.ifactlonByproducts7551)^ _Hatoac8tic Aclds(552) __OtherPestlcides (SMI8/6830) ^^^1ggl3 __UCMRLl8t1 CALANALYSIS _MtBE Only (524) ' i. JY brother—

I* <;4ft<W9sl^^^(^PL_--^)t > - _^nld0 /ft A'-’ ^Beryllium Siti«wf.| . / •^1 __ Boron ft-s?Caato«a<^ Bp^ .^^ •:,? • ' -ft ■ A' ft.:ft ftS«|«S^P •3" _ Solut3leaOD (5day) /v-:;: _, Hardness. Total as CaCOa ft j3iC5al«^;a8-p^^-Y,aftft^^ __ChemicatO>c^en Demand 7/ ■< WwttwWM'N^ ft s • I y.i?. J -;< • I P ft__ Total Organic Halides _ Nl^en. Total Kjeldahl as N vXobaft - ••5.

■ft_ft>,S6lk^.F^. _ Solids, Setteaisle ^ Sollds, Su8pended _S jSiollcIsi’telal ft ' ,. __ Phenol man<rGr^'ftft.,ftft.^ Phosphorus Total as P “ _ Phosphorus, Ortho as P ft>Si^:ft111BftA _^ead _ Magnesium o* __ Solld8, Total Dissolved •• ftft,.__ Suifetes ••?; ,■ ft j/Manganese 1 ft-ftftft-, „ ,Sollds, Totat Volatile ft _^ Surtet&nte A VWcury ’’ft';--W254'ft.ftft Y ■ ■' ■iZlWi«tenum''"1'ft'■•" __TCLP.Volatnes

ft; Ski*- -?•.;/> Y?‘L2_—. ft '..■M'Nlckel'-''.'""''ftftft-=ft 1 NYC-WTC_000075303

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NYC-WTC_000075303Source: NYC Law Department, mirrored locally

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