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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

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Scanned page image, NYC-WTC_000075304
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NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM Q.'"' ' 2 Dana Road, Valhalla, New York 10598 > (914) 231-1620 Fax (914) 231-1772 RB I* NYS-ELAP No. 10108 a llme/Date Set V^forrrr^^

TvPbtable 3. Non Poteble Treated /;2.WPd6abte • ■ 4.Q^r ?Z/ lVe^Chain of Custody? . Yes__ :No ' * tlfne/pate Collected: .-’CoIlecterl^By:'*^^ : Agency Code: Source ©: Descriptor __

' locaUon'S/lndlvIdual's Name __ .-' Npme/Compeny, ''^Street_________________.____ ' '■ street _______ ‘J , ’5? Cltv/Stgip City/St/Zlp

I; Oc<&on identification of Source __i_Z__ Point , y SHlSIZS- —r^c^, et?:^ IBAC^mOLOQICALAlM^

ORGANIC POTABLE ANALYSIS ”7~~1 S'.’ / (hetwxWye^ a all p»»ra) , _Trihalomethan8s(524) _VotaaieHalocarbon8 (524) — Cd^mCPubllC supplies) __ Volatile Atwnattos (524) __ Coliform MPN (priv well, taw, sip) —i. Aciylonjti •■^PeeB’CrtWi^ (a» samples) I __TotalTrihalomethane Potential (510) '?^z/’Orri0J5ddifeOTfe^F^ / „Mlcro8xtractables (504) ; / • _„Macroscopic .' ‘ / • - __Pe8ttdd^CB8cre8n (508) , - . &S. PC0asDecachloroblphenyI(5O8A) / 5f?^^pi0-13)<7/' __ Other__________ _ _Herbicides (515) \ '

Refrlgerated?__yes no >.:> __Carbamate Pesticides (531) J ; ^qiyphosate (547) - s ‘ 1*^

3f»,. isssss:3.a:

:.fng/L __ChloriS?on Dtslnfe^on Byprodtjcts" (551) __Haioac8tio Adds/ (552) , wiKa® s .. _OthQrPesticlde8(SM18/6630) . j* _UCMRList 1 'r./v Br IS—EZTS I

M ISO f-9!a6«»-»3gasS«*^BWsi s t' S' ifeiiK?!? h

:-»3 z Z Nitrogen. XTNitrate aXS'^T ■' ■ -'Ri i _ Dlssolwed Qt^en _ Total Organic Carbon ........ Total Organie HaW«» . as N _ Nitrogen, Nitrite as N _Nftr6gert,.TWl^ahiasN .v^^wm^otetf _ Chromium, Hexavalent ' ^CN 1^' . ' ‘

^^SQ|ld8) P^ (%) ,^;-Sdli(|^p^e, _ Solld8, SuspendQd - ■ _ Solids, Total ■; _j.OllantJGr0as8 , __ ’ — PhosphorusTote! as P _ Phosphorus, Ortho as P •./• -S* A*;; o _<WdSrWtWved __,Soltds,Tbtal Volatile^ __ Surfactants '" -S^ercury iZOther: __UV254 _TCLP-Vo{atil0s j^Ntek^ ; _TCLP-^N/&

NYC-WTC_000075304

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NYC-WTC_000075304Source: NYC Law Department, mirrored locally

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