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Chain of custody record, Sample AE06584, March 2002

Machine-extracted title · confidence 95%

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

NYC-WTC_000075432–000075437

Folder label: “AE 06584

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NYC 9/11 Public Portal Document Westchester gov.com 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 (cirde one): 1.Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: Collected By:. Collocted From: Location's/Individual's Name Street city/St/Zip Identification of Source _ Collection Point Agency Code: Bottle #'s: Chain of Custody? - _ Yes— No Comments: PWS #:. Source ID: Bill to: Name/Company- Street. City/SUZip Phone#f: CA,CH, BI? BACTERIOLOGICAL ANALYSIS Lab#: - Heterotrophic Plate Coun (hemodialysis & all others) - Coliform P/A (Public supplies) _ Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples)) - Microscopic anthonii Macroscopic API Other:-. Refrigerated? yes no Chlorinated:? wyesno Free Chlorine Res:_ -mg/L Total Chiorine Res: - mg/L рH RADIOCHEMICAL ANALYSIS Radon Other Lab#: ORGANIC POTABLE ANALYSIS —Trihalomethanes (524) A Vofatile Halocarbons (524) _ Volatile Aromatics (524) - Total Trihalomethane Potential (510) — Microextractables (504) Pesticides/PCB screen (508) -PCB as Decachlorobiphenyl (508A) -Herbicides (515) Pesticides (525) - Carbamate Pesticides (531) -Glyphosate (547) -Diquat (549) -Chiorination Disinfection Byproducts (561) - Haloacetic Acids (552) - Other Pesticides (SM18/6630) +UCMR List 1 - MEBE Only (524) INORGANIC ANALYSIS REQUESTED - Lab#t: - Color Turbldity - pH Conductivity Corrosivity (temp" BOD (5 day) tntante., Carbonaceous BOD (5 day) Soluble BOD (5 day) anuns Chemical Oxygen Demand - Dissolved Oxygen * Total Organic Carbon mniсь. Total Organic Halides Solids, Percent (%) Solids, Settleable Sollds, Suspended Solids, Total Solids, Total Dissolved N Solids, Total Volatile Other: - Acidity Alkalinity ,Bromide Bromate/Chiorate/Chlorite Chloride Cyanide Fluoride Hardness, Total as CaCOs Nifrogen, Ammonia as N Nitrogen, Nitrate as N Nitrogen, Nitrite as N Nitrogen, Total Kjeldahl as N Oil and Grease Phenol Phosphorus Total as P Phosphorus, Ortho as P Sulfates Surfactants _i Aluminum -Antimony _ Arsenic - Barium _ Beryllium Boron -Cadmium - Calcium, as CaCOs — Calcium, Ca* _Chromium, Total - Chromium, Hexavalent Cobalt - Copper - rọn éLead . Magnesium - Manganese -Mercury Molybdenum 2 Nickel NYC-WTC_000075436 ,ED 1N AGCORO nebc NYS-ELAP No. 10108 Form A-70 (rev.10/01) _Type Descriptor: Fax#: Check#: Amounts ORGANIC NONPOTABLE/SOLID ANALYSIS Purgeable Halocarbons (624/8260) Purgeable Aromatics: (624/8260) - Acrolein & Acrylönitrile (8260) - Organochiorine Pesticides (608/8081) - PCB's (Arochlors) (608/8081) - Herbicides (SM18/6630,8151) Other Pesticides (SM18/6630) Petroleum Hydrocarbon Scan (310-13) Glycols in Water Acid Extractables (625/8270) Base Neutral Extractables (625/8270) z. GC/MS Unknown Scan - Phthalates (606MS) _ Other: _ Potassium _ Selenium - Silver Sodium - Thallum _ Vanadium = ZnG CLP - Metals/CN митеть _ Volatiles -Semi-violatiles Pesticides/PCB's: ICLP -TCLP-Metals - TCLP-Pesticides - TCLP-Herbicides -TCLP-Volatiles - TCLP-BNAS .in..

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NYC-WTC_000075436Source: NYC Law Department, mirrored locally

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