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Chain of Custody Record, Sample AE06457, March 2002

Machine-extracted title · confidence 90%

Document tracking the custody and transfer history of a water sample submitted to the Westchester County Department of Labs & Research.

NYC-WTC_000075389–000075392

Folder label: “AE 06457

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NYC 9/11 Public Portal Document Nestchester ovcom ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 231-1620 Fax (914) 231-1772 Time/Date Set: Sample Type (dircle one): 1. Potable 3. Non Potable Treated 2 Non Potable 4 Other Time/Date Collected Collected By: Collected From: Location's/Individuat's Name Street City/StZip identification of Source Collection Point 3/00 Agency Coder FBD Bottle #'s: Chain of Custody? Comments: PWS#; Bill to; Name/Company Street City/SVZip Phone#: CA,CH, BI? BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hémodialysis & all others) Coliform P/A (Public supplles) Colfform MPN (prly well, rew, stp) Fecal Coliform (all samples) Microscopic Macroscopic AP) Other: Refrigerated? Chlorinated:? . yes - yes _ no Free Chlorine Res: _mg/L Total Chlorine Res: .... _mg/L pH RADIOCHEMICAL ANALYSIS Radon Other Lab#: 06459 ORGANIC POTABLE ANALYSIS -Trihalomethanes (524) Volatile Halocarbons (524) _ Volatile Aromațics (524). Total Trihalomethane Potential (510) Microextraotables (504) Pesticides/PCB screen (508) PCB as Decachlorobiphényl (508A) Herbicides (515) Pesticides (525) Carbamate Pesticides (531) _Glyphosate (547) : _Diquat (549) Chlorination Disinfection Byproducts (651) _Haloacetic Acids (552) _UCMR List 1 _ MtBE Only (524) LINORGANIC ANALYSIS REQUESTED - Lab#: Color : Acidity. Turbidity Alkalinity pH Bromide Conductivity Corrosivity (temp: :BOD (5 day) °C) Bromate/Chlorate/Chlorite Chloride _ Cyanide Carbonaceous BOD (5 day) Fluoride Soluble BOD (5 day) Hardness, Total as CaCO3 Chemical Oxygen Demand Nitrogen, Ammonia as N Dissolved Oxygen Nitrogen, Nitrate as N Total Organic Carbon Nitrogen, Nitrite as N Total Organic Halides Nitrogen, Total Kjeldahl as N Solids, Percent (%) Oll and Grease Solids, Settleable Phenol Sollds, Suspended Phosphorus Total as P Solids, Total Phosphorus, Ortho as P Solids, Total Dissolved Sulfates Solids, Total Volatile Surfactants Other: UV254 Aluminum Antimony Arsenic Barlum Berylllum Boron Cadmlum Calclum, as CaCOs Calclum, Cat? Chromium, Total: Chromium, Hexavalent Cobalt Copper Iron Lead Magnesium: Manganese Mercury:! _Molybdenum _ Nickel NYC-WTC_000075392 heho NYS-ELAP.No.: 10108 Form A-70 ((ev.10/01) 3337 PrO2 No Source ID: haType Descriptor) Check#: SE Amounts ORGANIC NONPOTABLE/SOLID ANALYSIS - Purgeable Halocarbons (62478260) Purgeable Aromatios (624/8260) Acrolein & Acryionitrile (8260) Organochlorine Pesticides (608/8081) _PCB's (Arochlors) (608/8081) Herbloldes (SM18/6630,8151) Other Pesticides (SM18/6630 Petroleum Hydrocarbon Scan (310-13) Glycols in Water Acld Extractabies (625/8270) .Base Neutral Extractables (625/8270) 2GC/MS Unknown Scan - Phthalates (606MS) 2Other: ,Potassium LSelenium Sliver tonsina Sodium _ Thaillum IEVanadium Zinc: CLE - Metals/CN _Voletiles Semi-vlolatlles Pesticideg/PCB's ICLe TCLP Metals TCLP Pesticides TCLP. Herbicides TCLP-Volatiles 2 TCLPBNAS

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NYC-WTC_000075392Source: NYC Law Department, mirrored locally

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NYC-WTC_000075393 · Box DEP Box 62

Laboratory report detailing ICPMS analysis results for metals including antimony, arsenic, and barium in a water sample collected on March 17, 2002.

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NYC-WTC_000074851 · Box DEP Box 62

Chain of custody documentation for environmental samples transferred to the Westchester County Department of Labs and Research in Valhalla.

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