Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
NYC-WTC_000026779–000026786Folder label: “23717”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document . Pi ... * "*... .
> ENVIRONMENTAL S SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 _ (914)593-5575 / NYS-ELAP No. 10108 Time/Date Set: P : i ( Form A-70 (rev. 1/96) —----- —------------- Sample Type (circle one): 23j.- ,3 00,2 1Potable 3. Non Potable Treated Bottle #‘s: _ (7 , > 772 2. Non Potable 4. Other ........... Chain of Custody? yes no Time/Date Collected: __ Comments: ........ — Collected By:....... ... ................. .... Agency Code: PWS #:__________ Source ID: Type Descriptor: Collected From: Bill to: 9—— Location’s/Individual’s Name. GOeeA Name/Company: ---------------=bb=2 Street _ Street ................ ..... — City/StZip City/StZip _ Identification of Source _ BC tA* Phone#: -- - ---d- --=-========5?=5 ____ Collection Point 77,5 21735 Check#: A. --------------------------------- ---- BACTERIOLOGICAL ANALY ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SC Lab#: Lab#:— "' 3 ) 2 3 (circle tests) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (6 Count (hemodialysis & all others) 2. Volatile Halocarbons (524) 2. Purgeable Aromatics (624/64 2. Coliform P/A (public supplies) 32 Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) s ■ 3. Coliform MPN (priv well, raw, stp) 4. Fecal Coliform (all samples) 4. Total Trihalomethane Potential (510) 4 Phthalates (625/8270), 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) 5. Microscopic 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) / 6. Macroscopic (7. Pesticides/PCB screen (508) 7. Methoprene (616) ‘ 7 7aR 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPA1978/8151) sS- ^er:------------- _ 9. Herbicides (515) 5 1 9. Pesticides (SM18/6630) 2 10,) Pesticides (525) > 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes no -11 Carbamate Pesticides (531) - 11. Glycols _ Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractable's (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) 16. Pesticides (SM18/6630) 15. Purgeable Halocarbons (DEF) 16. Purgeable Aromatics (DEF)'" pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) . 18. Other: ........ 18. Other:. -=====________ INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) ■
1. Color 20. Acidity 39. Aluminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCO3 40. Antimony 60. Selen um 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 44. Boron 63. Thallium ' 6. BOD (5 day) 25. Cyanide 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 CaCOs • 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-violatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB's 13. Solids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables 14. Solids, Settleable 33. Phenol 52. Iron : • : TCLP -1 ? Suspended 34. Phosphorus Total as P 53.Lead Golids, Total 35. Phosphorus, Ortho as P 54 Magnesium 71 .TCLP-Metals 72.TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55 Manganese 73. TCLP-Herbicides 18. Solids, Total Volatile 37. Surfactants • ;■ 1 56. Mercury 74. TCLP-Volatiles 19. Other:_____________ 38.UV254 : A 57 Molybdenum 75.TCLP-BNA’S 58. Nickel
NYC-WTC_000026780
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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 0.997
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 0.996
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 0.996
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 0.996
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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027723
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 0.996
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 0.996
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 0.996
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 0.995
machine-extracted · confidence unavailable · Check page ↗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 0.995
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 0.995
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