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Chain of custody record, Sample AE06529, March 2002

Machine-extracted title · confidence 95%

Westchester County Department of Labs and Research chain of custody form for a water sample.

NYC-WTC_000075399–000075402

Folder label: “AE 06529

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Scanned page image, NYC-WTC_000075400
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NYC 9/11 Public Portal Document Nestohester Ov.com ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 105953 : (914) 231-1620 Fax (914) 231-1772 Time/Date Set: Sample Type (drde one): 1. Potable 3, Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 312 Collected By:_ Collected From: Location's/individual's Name Street City/St/Zip Identification of Source Collection Polnt Agency code: MLWIV Frdd Blauck Bottle #s: Chaln of Custody?- Comments: PWS#: Blll to: Name/Company Street City/StZIp Phone#: Yos _ No Source ID: CA,CH, BІ? BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodialysls & all others) Coliform P/A (Public supplies) Collform MPN (priv well, raw, stp). Fecal Coliform (all samples) Microscopic Macroscopic API Other: Refrigerated? Chlorinated:? - yes _yes Free Chlorine Res: Total Chlorine Res: no no mg/L mg/L pH Lab#f; 06S31 ORGANIC POTABLE ANALYSIS Trihalomethanes (524) _Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticldes/PCB screen (508) PCB as Decachlorob|phenyl (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#: _ Color _ Acidity . Turbidity Alkalinity L pH: _ Bromide - Conductivity - Corrosivity (temp: °C) Bromate/Chlorate/Chlorite .Chloride - BOD (5 day) i 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 - Sollds, Settleable Phenol - Solids, Suspended Phosphorus Total as P Sollds, Total Phosphorus, Ortho as P Solids, Total Dissolved : Solids, Total Volatile Sulfates Surfactants Other - UV254 Aluminum Antimony Arsenic Barium ,Berylllum Boron Cadmlum Calcium, as CacOs Calcium, Catzi Chromium, Total Chromium, Hexevalent ,Cobalt Copper .Iron ,Lead Magnesium Manganese Mercury .Molybdenum Nickel NYC-WTC_000075400 nelr NYS-ELAP No. 10108 Form A-70 (rev 10/01) 022022 Type Descriptor: Checkt - Amounts ORGANIC NONPOTABLEJ SOLID ANALYSIS Purgeabie Halocarbons (624/8260) Purgeable Aromatios (624/8260) Acrolein & Acrylonitrile (8260) Organochlorine: Pesticides (608/3081) PCB's (Arpchlors):(608/8081): Herpicides (SM16 6630,8151) Other Pesticfdes (SM18/6630) Petroleum Hydrocarbon Scan (310-13 Glycols in Water Add Extractables (625/8270) Base Neutral Extractables (625/8270) GC/MS Unknown Soan Phthalates (606MS) Others Potassium Selenlum Silver* - Sodium: Thallium Vanadium Zinç/ _Metals/CN Volatiles" →Seml-violatiles ЩPesticides/PCB's ICLP TCLP-Metals _TCLP-Pesticides _ TCLP-Herblcides TCLP-Völatiles TCLP-BNA's

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NYC-WTC_000075400Source: NYC Law Department, mirrored locally

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NYC-WTC_000075403 · Box DEP Box 62

Laboratory report detailing ICPMS analysis results for metals including antimony, arsenic, and barium in a water sample collected on March 18, 2002.

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