Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
NYC-WTC_000026669–000026672Folder label: “23605”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM Westchester HsngovCOL n WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, Nev,' York 10595 (914)593-5575
ime/Date Set; QC 2 44 > i/“ 0 J NYS-ELAP No. 15 Form A-70 (rev. 1/96) \ -*14036 7>r, ; [ Sample Type (circle one): ,1. Potable.) 3. Non Potable Treated Bottle‘#‘s‘ i' ' ‘ L ' * ‘ r ... 2.Non Potable 4. Other Chain of Custody?...... yes _ no J - | Time/Date Colle cted:___o/C Comments: ___ ___________ | Collected By: (LAr c 0 A Ha- Agency Code:__ _ PWS #:____ Source ID: ___ Type Descriptor: Collected From: Bill to: / / 1 •* J Location’s/Individual’s Name _ Name/Company _... Street fl 0001 Street— city/SuzipUalls/LAd /054 City/St/Zip----------- I identification of Source * Phone#: _ Fax#: | Collection Point CAT( ■—------------------- - CA.CH, Bi? Chock#: Amounts___ .•/E SlliillllflflillllBii
BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS me Labf== Lab# -........... ..../*. ... ; , . t (—9-------- r ' (circle tests) (circle tests) -" ' d3 ' I 1. Heterotrophic Plate 1- Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) (24 Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) (3, Volatile Aromatics (524) : 3. Acrolein & Acrylonitrile (624) | 3. Coliform MPN (privwell, raw. sip) 4. Total Trihalomethane Potential (510) - 4. Phthalates (625/8270) 4. Focal Coliform (all samples) 5. Microextractables.(504) -5. Organochlorine Pesticides (608/8081 5. Microscopic 6, Pesticides (507) 6. PCB's (Arochlors) (608/8081) " Macroscopic 17. Pesticides/PCB screen (508) 7. Methoprene (616) API 8. PCB as Decachlorobiphenyl (508A) 8 Herbicides (EPA1978/8151) 8. Other:__ ,9. Herbicides (515) ,9. Pesticides (SM18/6630) ' 10. Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? .. .... yes . _ no k “11. Carbamate Pesticides (531) 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) 18. Other:__________ 18. Other:___________ _..._........ ..... ...... =================================================================================== M&Heo~/BLUo=mRgIPIPG*T-P*--*LM
INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) ? 1. Color 20. Acidity , 39. Aluminum ___ J - 59.'Potassium 2. Turbidity 21. Alkalinity, as CaCO3 । 40, Antimony 60. {Selenium 3.pH 22. Bromide > 41 Arsenic 42 Barium 61. Silver /. i 62. {Sodium (. 4. Conductivity 23 Bromate/Chlorate/ChIorite 5. Corrosivity (temp:___ __ °C) 24 Chloride (43 Beryllium j 63.(Thallium < ■ 6. BOD (5 day) 25. Cyanide 44. Boron : 64. Vanadium 3 . 26 Fluoride 45. Cadmium \ 65/ /n 7. Soluble BOD (5 day) 8. Carbonaceous BOD (5 day) 27 Hardness. Total as CaCOs 46. Calcium, as CaCOs CIP 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47, Caioii, va 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 I 51 Copper ■ 13. Solids, Percent (%) 14. Sohds, Settleable 32. Oil an Grease 33. Phenol /52JIon 15 3 Lead _ 70. Disk Deliverables TCLP_ 16, Solids. Total 5. Solids, Suspended
17. Solids, Total Dissolved 34. Phosphorus Total as P .. citpeian i 36. Sulfates , 54| Magnesium . 55’Manganese /1 H.l l- ilolat itol i’ i e tile . 73 ic Fl i-r-, it! ■ 18. Solids, Total Volatile 37. Surfactants ' 56 Mercury 74. TCLP-Volatiles 19. Other: ■ 38. UV254 ' 57> Molybdenum 58, Nickel 75.TCLP-BNAS
NYC-WTC_000026670
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NYC-WTC_000027618
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026753
Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026695
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 0.988
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027862
Record tracking the custody and transfer of samples to the Westchester County Department of Labs & Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027781
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 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027595
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 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026779
Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027414
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 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026585
Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.986
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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.985
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026260
Document tracking sample 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 0.985
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070207
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.987
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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