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Chain of custody record, Sample AE06588, March 2002

Machine-extracted title · confidence 95%

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

NYC-WTC_000075455–000075460

Folder label: “AE 06588

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Scanned page image, NYC-WTC_000075459
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NYC 9/11 Public Portal Document

ENVIR ENTAL SERVICES SAMPLE SUBMISSION FORM so. WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 231-1620 Fax (914) 231-1772 I S' N^OAPWHWH Tme/Date Set: Form A-70 (rev. 10/01)

Sample Type (circle one): # ‘■4 •

A Non Potable Treated 2. Non Potable Chain of Custody? _.Yes__No Ttee/Dafe Cditetefc,,, Comments: Collected Agency Code: Source IO: .Type Descriptor Collected From: ■M Location’s/! ndividual Name _L Name/Company _ Street / > . City/St/Zip__L_-_i_ City/St/Zip identification of Source Phone#:............... Fax#: Collection Patel CA,CH.Bi? Check#: Amounts.

BACTERIOLOGICAL ANALYSIS Lab#; ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS _ Heterotrophic Plate Count (hemodialysis & all others) ___Trihalomethanes (524) Purgeabte Halocarbons (624/8260) -Ool»MmRWj^(W*e«PP^ __Coliform MPN (priv well, raw, stp) _izyolatile Halocarbons (524) ...ZVoiatile Aromatics (524) _ Purgeable Aromatics (624/8260) _ Acrolein & Acrylonitrile (8260) .{ _ Fecal Coliform (all samples) __ Total Trihalomethane Potential (510) Organochlorine Pesticides (608/8081) '1 _ Microextractables (504) _ PCB's (Arochlors) (608/8081) _ Pesticldes/PCB screen (508) _ Herbicides (SM18/6630,8151) „ PCB as Decachlorobiphenyt (508A) _ Other Pesticides (SM18/6630) ....Other:..... _ .... .... - .. „ Herbicides (515) _ Petroleum Hydrocarbon Scan (310-13) _ Pesticides (525) __ Glycols in Water Refrigerated?_ no __ AcidExtractables (625/8270) Chiorinated:? _ Glyphosate (547) Base Neutral Extractables (625/8270) _ GC/MS Unknown Scan Pm Chlorine ..... ..... mc/L ^.Chlorination Disinfection Byproducts (551) _ Phthalates (606MS) Total Chlorine Res: __Haloacetic Acids (552) _ Other_______ ___ __________ __ _ Other Pesticides(SM18/6630) _UCMRList1 RADIOCHEMICAL ANALYSIS _„MtBE Only (524) —Radon — Other ___________ _

INORGANIC ANALYSIS REQUESTED « Lab#; — Color - wl J^uminum _ .Potassium

_Bromide Z^Xrsenic -.Silver _ Bromate/Chlorate/Chlorite Corrosivity (tempi ■'tilllilwr __ Chloride _^Beryiiium _j>Jhai!ium BOD {5 day) Cyanide _ Carbonaceous BOD (5 day) Fborfefe .^Cadmium — Zinc Soluble BOD (5 day) Hardness, Total as CaCOs __ Calcium, as CaCO3 __ Chemical Oxygen Demand Nitrogen, Ammonia as N Oa** fete'.. Di^Ned Oxygen Nitrogen, Nitrate as N „Metal^CN _z<hromium, Total _ Volatiles __ Total Organic Carbon Nitrogen, Nitrite as N .^Ohroritem, {tosbaMML Total Organic Halides Nitrogen, Total Kjeldahl asN _kCobait _SwWeiWW _ {%) _ Pesticides/PCB's Oil and Grease _±Copper __ Phenol -Ziron _ Solids, Suspended __ Phosphorus Total as P _^’Lead _TCLP-Metals _ Solids, Total Phosphorus. Ortho as P __ Magnesium _TCLP-Pesficides _ Solids, Total Dissolved _ Sulfates ^zManganese __TCLP-Herbicides _.SoIids, Total Volatile Surfactants ..^i^Mercufy _TCLP-VolatHe8 ,-4.'oih«i _ UV254 ^.TOLfMWte

NYC-WTC_000075459

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NYC-WTC_000075459Source: NYC Law Department, mirrored locally

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Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.

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Chain of custody record, Jan 2002 · Box DEP Box 62

NYC-WTC_000073037

Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.

11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.977

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