NYC Law Department release
Independent mirror · updated as the City releases more · v1.2.6
← Document results/DEP Box 19/22577
Document / 6 pages

Sample submission form, Sep 2001

Machine-extracted title · confidence 85%

Chain of custody form for samples submitted to Westchester County Laboratories in September 2001.

NYC-WTC_000025975–000025980

Folder label: “22577

Page image
Scanned page image, NYC-WTC_000025980
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM ster WESTCHESTER COUNTY LABORATORIES AND RESEARCH com 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 Time/Date Set: Form A-70 (rev.1/96)

ple Type (circle one): 1, Potable 3. Non Potable Treated Bottle ^s: 09* 'R^ 2. Non Potable 4. Other __________ _____ Chain of Custody? eyes no Time/Date Collected: - 77 - 0/ 0 %/ 5 Comments: Collected By: 777 // Agency Code: _ Source ID: Type Descriptor: Collected From: Bill to: Location’s/individual’s Name. PSME Name/Company Street____________________________________________ Street_______ City/St/ZIp_________ ___ ____________________________ _ Identification of Source __________ ___________ ___ Phone# ," ■ Fax#: 3 _ *** ... 2/76 PX57... _ •% ■ ; *.=t ‘*. - —

Collection Point _ CA,CH,B?2 Check#: v..... ; AmounisTE Th .mm-=nma=—==-=2=da=aqv===e==o=naam======= zaruKes

BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS Q ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#: ' (circle tests) (circle tests) 4 2 . O 1. Heterotrophic Plate Count (hemodialysis & all others) (12 Trihalomethanes (524) (2. Volatile Halocarbons (524) 1. Purgeable Halocarbons (624/8260) 2. Purgeable Aromatics (624/8260) sA 8 (3 Volatile Aromatics (524) **** 2. Coliform P/A (public supplies) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (privwell, raw,stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) J 5. Microscopic 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) ' > 6. Macroscopic C Pesticides/PCB screen (508) 7. Methoprene (616) 7. 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPA1978/8151) 8. ten Herbicides (515) 9. Pesticides (SM18/6630) 7 Refrigerated? yes no 6 Pesticides (525) 11. Carbamate Pesticides (531) - 10. Petroleum Hydrocarbon Scan (310-13)— 11. Glycols Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) 13. Base Neutral Extractables (625/8270) Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) 14. GC/MS Semivolatile Unknown Scan Total Chlorine Res: mg/L 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) 16. Pesticides (SM18/6630) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) C - : 18. Other_______________________ 18. _ _____________________

INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) KE7#LS 1. Color 20. Acidity 39. Aluminum 59. Potassium by. 2. Turbidity 21. Alkalinity, as CaCO3 40. Antimony 60. Selenium * *1 3. pH 22. Bromide 41. Arsenic 61. Silver 1 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium ; 5. Corrosivity (temp:__ °C) 24. Chloride 43. Beryllium 63. Thallium * 6. BOD (5 day) 25. Cyanide 44. Boron 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCO3 46. Calcium, as CaCOs CLP 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47. Calcium, Ca+2 66. Metals/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48. Chromium, Total 67. Volatiles 11. Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-violatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50.Cobalt 69. Pesticides/PCB’s 13. Solids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables 33. Phenol 52. Iron 14. Solids, Settleable 53.Lead TCLP Uolids, Suspended 34. Phosphorus Total as P 71 TCLP-Metals 10. Solids, Total 35. Phosphorus, Ortho as P 54 Magnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55 Manganese 73. TCLP-Herbicldes 18. Solids, Total Volatile 37. Surfactants 56. Mercury 38. UV254 57 Molybdenum 74. TCLP-Volatiles 19. Other________________ 75.TCLP-BNAs 58. Nickel Nl6

NYC-WTC_000025980

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000025980Source: NYC Law Department, mirrored locally

Related records

Browse subjects →

Ranked by indexed similarity. Reasons describe shared subjects and filing context; check the source records.

Same-box records

Filed elsewhere

No available related records indexed in this group.

More like this page

Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.

Page similarity is temporarily unavailable or this page has no indexed vector.

Others also read

Readers open these alongside this record — through an Ask answer, the same folder, or indexed similarity. Not a claim they are about the same event.

NYC-WTC_000025981 · Box DEP Box 19

Laboratory report detailing metal analysis of water samples collected from Hillview Reservoir on September 17, 2001.

Filed in the same folder

NYC-WTC_000026432 · Box DEP Box 19

Record documenting sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.

Similar indexed content

NYC-WTC_000025875 · Box DEP Box 19

Document tracking sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.

Similar indexed content

Compare copies and versions →