Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
NYC-WTC_000026753–000026756Folder label: “23697”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
III ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 i **es r 07 (914) 593-5575 NYS-ELAP No. 10108 FommA /(ov 1/6) g/DateSet:______— iple Type (circle one): P 014 4 K 78 , C5 24 .5 V 2 3 T -p PA. FF3 C16] 1 * G C $3k , f’ F 6‘ s o &, 1. Potable 3. Non-Potable Treated Bottle #‘s: 2 88 55, . ......................................... — 2. Non-Potable 4. Other______________ Chain of Custody? yeS wnoee Time/Date Collected:. 4/ Comments: 7 Collected By:_ * ' / HAgency Code; PWS #__ ______ Source ID: Type Descriptor: Collected From: Bill to: Location’s/Individual’s Name_/A. _______ N a m e/C o mp a n y _ Street.. ‘__Lo/__ n—k£ A_tc Street,,.. Cty/SuZip.MALA—_ 7. Csty/St/Zip Identification of Source Phone#: ...Fax#: rCA, CH, Bl?.......... Collection Point GGH Check#:__ Amounts
BACTERIOLOGICAL ANALYSES ' ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:............ ....... .. ...... ... .................. Lab #__ _________ __________ ______ _ (circle tests) (circle rests’.) 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) 33 Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) | 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) I 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) TAPI 8. PCS as Decachlorobiphenyl (508A) 8 Other Pesticides (SM-18/6630) gaOther 9. Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) ( ' ib^esticides (525) 10. Glycols in Water j Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) v* ! Chlorinated?:.......... 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-1 8/6630) 16. Pesticides (DEF) Total Chlorine Res: ....... mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
___ * INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) _ *. 000--- WM" / /AL //a 1. Color 20. Acidity (39; Aluminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCO3 40. Antimony 60. Selenium 3 pH 22. Bromide <41 Arsenic : 61; Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 142. Barium ; 62. Sodium : j ( 5 Corrosivity (temp:_____ _ °C) 24. Chloride 143: Beryllium , 63. Thallium 6. BOD (5 day) 25. Cyanide 44. Boron * 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 1 65. Zinc__ ___ 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCO3 46. Calcium, as CaCO3 CLP 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47.\Calcium, Ca*2 ra M-ntl," N 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 ............ .. 65 sen velt « 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB’s 13. Sonds, Percent (%) 32. Oi and Grease 51. Copper 70. Disk Deliverables j. . Solids, Settleable 33. Phenol 52. Iron ITCLP 95. Solids, Suspended 34. Phosphorus. Total as P 53. Lead I tl 1 Mera, 16. Solids, Total 35. Phosphorus, Ortho as P 54. Magnesium 72. TCLP-Pesticides 1 7. Solids, Total Dissolved 36. Sulfates 55. Manganese 73? TCL P-Herbicides 18. Solids. Total Volatile 37. Surfactants - 0 Mercury 74. TCLP-Volatiles 19, Other: 51 TT 38.UV254 157 Molybdenum / I(Pi3At 58 Nickel d NYC-WTC_000026754
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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 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗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 0.992
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 0.992
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 0.992
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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026447
Document tracking the chain of custody for environmental samples submitted to the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
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 0.991
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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
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 0.990
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 0.990
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