Document tracking the chain of custody for environmental samples submitted to the Westchester County Department of Labs & Research.
NYC-WTC_000026447–000026451Folder label: “23318”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ill Uestchester County ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 (s) (me NYS-ELAP No. 10108 Time/Date Set:_______ _______ __________ Form A-70 (rev. 1/96) Cple Type (circle one): O44, 86+2,86+1 ,8660,8603 T. Potable 3. Non-Potable Treated Bottle #‘s:044, 6579 , s6SS, 740 % 990 8,792 2. Non-Potable 4. Other _____ _________ —____ Chain of Custody? yes .no Time/Date Collected:. 9122/200/ (AM Comments:____ Collected By:M.YACOUB Agency Code: PWS #:________ Source ID: Type Descriptor Collected From: % Bill to: Location’s/ndividual’s Name. HQview RoserUory Name/Company Street________________ Street_________ City/St/Zip_______ _____ _ Identification of Source____ Phone#:_ Fax#: Collection Point. 813 CA.CH, BI? Check#: Amounts. BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:____________________ (circle tests) 1. Heterotrophic Plate 23325 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) • Count (hemodialysis & all others) 2. Coliform P/A (public supplies) 3. Coliform MPN (priv well, raw, stp) 4. Fecal Coliform (all samples) 2 Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) 5. Microextractables (504) 2. Purgeable Aromatics (624/8260) 3. Acrolein & Acrylonitrile (624) 4. Phthalates (606/8060) 5. Organochlorine Pesticides (608/8080) 5. Microscopic 6 Pesticides (507) *6. PCB’s (Arochlors) (608/8080) 6. Macroscopic 7.Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) ^Other: 9. Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) 10. Pesticides (525) 10. Glycols in Water Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chionnated?: yes no 13. Diquat (549) 13. GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) Free Chionne Res:. mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) ’ 8
Total Chlorine Res: .mg/L . 16. Other Pesticides (SM-18/6630) 17. Petroleum/Hydrocarbon Scan (310-13) 16. Pesticides (DEF) 17. PCB’s (Arochlors) (DEF) C pH
INORGANIC ANALYSES REQUESTED - Labi: (circle tests) y 1. Color 20. Acidity 39. Aluminum 2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony 60. Selenium o 3. pH 22. Bromide 41. Arsenic 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium 5. Corrosivity (temp: °C) 24. Chloride 43. Beryllium 63. Thallium 5 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 CaCOs 46. Calcium, as CaCOs CLP 33 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47. Calcium, Ca*2
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-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB's 13. Solids, Percent (%) 14, Solids, Settleable Golids. Suspended 18. Solids, Total 32. Oil and Grease 33. Phenol 34. Phosphorus, Total as P 35. Phosphorus, Ortho as P 51. Copper 52. Iron 53. Lead 54. Magnesium 70. Disk Deliverables TCLP 71. TCLP-Metals 72. TCLP-Pesticides Y 17. Solids, Total Dissolved 36. Sulfates 55. Manganese 73. TCLP-Herbicides 18. Solids. Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other:____________ 38. UV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel
NYC-WTC_000026450
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NYC-WTC_000026945
Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027107
Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026611
Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026864
Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027723
Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027437
Document tracking the custody and handling of environmental samples submitted to the laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026432
Record documenting sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027189
Document tracking the custody and handling of environmental samples submitted to the laboratory.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026351
Record documenting sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071530
Form tracking samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071184
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including contact information.
10 shared non-person entities · 1 shared topics · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071265
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.994
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Record documenting sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.
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