Chain of custody and submission form for environmental samples sent to Westchester County Laboratories in September 2001.
NYC-WTC_000026584Folder label: “23471”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM UE HL illestchester County j^PpateSet_______ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 _ NYS-ELAP No. 10108
Sample Type (circle one): 1. Potable 3. Non-Potable Treated Bottle _________ 2. Non-Potable 4. Other. Chain of Custody? .yes__ Ano Time/Date Collected: Collected By: - 0 VT .Agency Code: /nlc/ >I f tit,y Comments: PWS #: .Source ID:. Type Descriptor: Collected From: a ' A Bill to: Location’s/Individual’s Name____ Ellura/C. _ Street ______________ Street__________ City/St/Zip___________________ City/St/Zip identification of Source. Phones, Fax #:. Collection Point LY (k GK CA, CH, BI? Checki: Amounts. I ORGANIC POTABLF ANALYSES * 3 BACTERIOLOGICAL ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES t . ■ Lab#: _ ________________ (circle teste) ce ’ / C (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524)5 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 2. Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 22 2. Coliform P/A (public supplies) 3. Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) 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) — 8.. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) . 7AP* Sher:___ 9.—Herbicides (515) s i 9. Petroleum Hydrocarbon Scan (310-13) /10. Pesticides (525) *‘8- 10. Glycols in Water Refrigerated? yes no 41.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 Chlorine Res: mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) . 16. Pesticides (DEF) Total Chlorine Res: mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
pH
INORGANIC ANALYSES REQUESTED - Lab#:. (circle tests) 1. Color 20. Acidity 39. Aluminum 59. Potassium 2. T urbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium 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 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 CaCOa 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-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB’s 13. Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables Golids, Settleable 33. Phenol 52. Iron TCLP NSolids, Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. Solids. Total 35. Phosphorus, Ortho as P 54. Magnesium 72. TCLP-Pesticides 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 sraa 58. Nickel ___________ #■ . _________ ____ _
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NYC-WTC_000027356
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 0.988
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071429
Document tracking the custody and handling of environmental samples submitted to Westchester County Department of Labs.
10 shared non-person entities · 1 shared topics · similarity 0.988
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000062881
Sample submission form for environmental testing at Westchester County Laboratories and Research, September 2001.
10 shared non-person entities · 1 shared topics · similarity 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071817
Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · similarity 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070355
Record documenting 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 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000062760
Sample submission form for Environmental Services Laboratories and Research, dated September 2001.
10 shared non-person entities · 1 shared topics · similarity 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071089
Form documenting 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 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071567
Form tracking samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.986
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 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072603
Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071045
Form documenting 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 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072522
Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.986
machine-extracted · confidence unavailable · Check page ↗Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.
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