Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
NYC-WTC_000026585–000026588Folder label: “23471”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM \ dhi os govcom WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 1 (914) 593-5575 NYS-ELAP No. 1' ime/Date Set: Form A-70 (rev. 1/96) _______ Sample Type (circle one): , T Li y y //$2* ?6> 1 , <. 1 Potable 3. Non Potable Treated Bottle #‘s:___ Kat 2.Non Potable 4. Other ,___ Chain of Custody? _ ves no t Time/Dale Collected:...... 4— Comments:______ _ Collected By: _....... Agency Code: PWS #:..... ..... _ Source ID:Type Descriptor: Collected From: Bill to: Location’s/Individual’s Name A(C t / Name/Comoany..... Street / 001 A/24 O Street____ ___ City/St/Zip /4v //de y.. y it) L ' — • C 6 City/SiZip Identification of Source Phone#:... _________ Fax#: Collection Point___63 / ' si® CA.CH. Bl? .— Check": ----- Amounts BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Lab?7:.... -........................ ....... (circle tests) Labi: .. -.. -24 (circle tests) C / f 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 22Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) t 34 Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) - 4. Phthalates (625/8270) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081 5. Microscopic 6. Pesticides (507) : 6. PCB’s (Arochlors) (608/8031) Macroscopic (T9 Pesticides/PCB screen (508) .7. Methoprene (616) API 8. PCB as Decachlorobiphenyl (508A) ’ 8. Herbicides (EPA1978/8151) 8. Other: __ _________ ____ _ ____ 9. Herbicides (515) .9. Pesticides (SMI8/6630) 10.2 Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes no
yes _ _... no d Carbamate Pesticides (531) 12. Glyphosate (547) 11.Glvcols 12. Acid Extractables (625/8270) Chlorinated:? 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 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) Total Chlorine Res:______ _ mg/L 16. Pesticides (SM18/6630) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCD’s (DEF) 18. Other:___________ 18. Other:.. _... ..... _...... ......._........... _
ANj Sts fit ONEST/D ■ ; : (circle*tests)Niteg 1. Color 20 Acidity 39. Aluminum /40.Antimony 59) Potassium , | 60. Selenium / i { ' 2. Turbidity 21 Alkalinity, as CaCOs 3.pH 22. Bromide 23. Biomate/Chlorate/Chlorite {41 .'Arsenic 142. Barium / 61. Silver 62. Sodium : i "/ 4. Conductivity 24 Chloride 43.Beryllium 63. Thallium 5. Corrosivity (temp:_____ "C) 6. BOD (5 day) 25. Cyanide 44. Boron 64/ Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45/Cadmium 65. Zinc a 27. Hardness, Total as CaCOs 46. Calcium, as CaCOs CLP_= 8. Carbonaceous BOD (5 day) 9. Chemical Oxygen Demand 10. Dissolved Oxygen 28. Nitrogen, Ammonia as N 29. Nitrogen, Nitrate as N ' ,(47) Calcium, Ca‘ g 5 ‘48. Chromium, Total 66. Metals/CN 67. Volatiles 11. Total Organic Carbon 30. Nitrogen, Nitrite as N t. 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 1 51. Copper 70. Disk Deliverables t. Solids, Settleable ,5. Solids, Suspended 33. Phenol 1 153 34. Phosphorus Total as P 52../Iron i ’Lead TCLP 71TCLP-Metals 16. Solids, Total 54 35. Phosphorus, Ortho as P Magnesium |55 Manganese 72.TCLP-Pesticides 17. Solids, Total Dissolved 18. Solids, Total Volatile 37. Surfactants_-oe 36. Sulfates
38.UV254 57 Molybdenum t 56, Mercury . 73.TCLP-Herbicides 74. TCLP-Volatiles 19. Other: _________ __________ 58/Nickel 75. TCLP-BNA’s
NYC-WTC_000026587
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NYC-WTC_000027189
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 0.993
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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000025875
Document tracking sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027271
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 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027641
Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027804
Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070942
Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
11 shared non-person entities · 1 shared topics · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071530
Form tracking samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070870
Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
11 shared non-person entities · 1 shared topics · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072702
Fragmented chain of custody record for samples submitted to Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072362
Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070981
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including contact information.
11 shared non-person entities · 1 shared topics · similarity 0.993
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NYC-WTC_000026583
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Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
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