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 rgggovcom WESTCHESTER COUNTY ! ABAPATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 1883 Time/Date Set: Form A-70 (rev.1/96) ET2-C O00 R-703 70530397/5577 Sample Type (circle one): i -i h - S-m70 & FA -37, f 5 7/36-875 > (1.Potable 3. Non Potable Treated Bottle #s:0n9ria - 0*73 V ‘ 2. Non Potable Time/Date Collected; 4. Other__________ __ 795-0 / Chain of Custody? _.. _ yes _ . no Comments:___ ■ ' Collected By: m /‘ TO Agency Code: . PWS #:............ - Source ID ype Descriptor: Collected From: Ma Bill to: ' Location’s/ndividuars Name De L I . . Name/Company • Street 19WCSTLAYED_ Street: */===================0!)==========5i
City/St/Zip VALHALLA , NEWYoRk /0575 City/St/Zip _ Identification of Source . ------------------------------------------ Phone#: _ Fax#: _ Collection Point. ...... . . L—2-------- ---------------------------------- CA.CH, BI? ......-...... ..........Check#:..... Amounts_____
BACTERIOLOGICAL ANALYSIS Lab#:_____________ 1 ORGANIC Lab#: POTABLE ANALYSIS • - /d_ I i 1 A .. ------ . 7 0**51 ?0—t7” ORGANIC NONPOTABLE/SOLID ANALYSIS
(circle tests) (circle tests) *" •' r ’ 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) :. ■ Count (hemodialysis & all others) -2/ Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) 13 Volatile Aromatics (524) 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 5. Microscopic 6. Pesticides (507) 6. RGB's (Arochlors) (608/8081) 6. Macroscopic -7 Pesticides/PCB screen (508) .7. Methoprene (616) API • .msk (BAp/ebi) 8. Other: ,9. Herbicides (515) A 8. PCB as Decachlorobiphenyl (508A)
10. Pesticides (525) 9. Pesticides (SM18/6630) 10. Petroleum Hydrocarbon Scan (310-13), Refrigerated? . .... yes___ no 11. Carbamate Pesticides (531) 11. Glycols . Chlorinated:? yes...... no 12. Glyphosate (547) 12. Acid Extractables (625/8270)
Free Chlorine Res: mg/L 113. Diquat (549) u 13. Base Neutral Extractables (625/8270) 14. GC/MS Semivolatile Unknown Scan 14. Chlorination Disinfection Byproducts (551) 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) Total Chlorine Res: _ mg/L 16. Pesticides (SM 18'6630) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other:.... . _ 18. Other:__ _________ ___________ _ _ .
NAmin Al’d vsl RFQUESTED - I : 7=... }nl (circle tests) 1. Color 20. Acidity 21. Alkalinity, as CaCOa / 39. Aluminum i 40. Antimony ‘ ' ___ — •' 59, Potassium ! 60! Selenium 1- ;; 2. Turbidity 3.pH_ 22. Bromide : 41 Arsenic I21senaf4 61. Silver UU 4. Conductivity 23. Bromate/Chlorate/Chlorite ( 42,Barium i 62. Sodium 5. Corrosivity (temp:______ fiC) 24. Chloride 43. Beryllium ; 63. Thallium ; 6. BOD (5 day) 7. Soluble BOD (5 day) oga Cyanide IVU 25. Fluoride 26. 44. Boron : 45. Cadmium { (-1 64.. Vanadium ( .65/Zinc d 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOs '46. Calcium, as CaCOs CLP 28. Nitrogen, Ammonia as N " 47,Calcium, Ca*2 9. Chemical Oxygen Demand 66. Metals/CN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N i 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.obalt 69. Pesticides/PCB’s 13. Solids, Percent (%) 32. Oil an Grease : 51,Copper 70. Disk Deliverables 14. Solids, Settleable 5. Solids, Suspended 33. Phenol 34. Phosphorus Total as P 1 52 Iron s 53iLead TCLP 71.TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P ■ 54 Magnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36 Sulfates 1 55; Manganese 73. TCLP-Herbicides 18. Solids, Total Volatile 37. Surfactants | 56; Mercury 74. TCLP-Volatiles 19. Other:..... ............. ......... ........... 38.UV254a । 57 Molybdenum 75.TCLP-BNA's t 5,8. Nickel
NYC-WTC_000026671
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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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