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
L tels ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM 11 WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 . (914)593-5575 / . NYS-ELAP No. 10108 e/Date Set: Form A-70 (rev. 1/96)
sample Type (circle one): 0003 . L"i, 7554 67R ( Potable 3. Non Potable Treated Bottle #19) .2700,79/7.2780 — f 7773 / 879% 2. Non Potable 4. Other Chain of Custody? yes no Time/Date Collected: 9/21/100/ Comments: —. ... Collected By: —A/LAgericy Code: _______ PWS #: _ Source ID: Type Descriptor: Collected From: Bill to: Location’s/Individual’s Name /vtLwo OZeaatvo/ Name/Company Street _ Street _ City/StZip ............ City/St/Zip Identification of Source _ Phone#: _ Fax#: Collection Point _____ By 58. CA,CH, Bl?. Check#: . ...... —... -...."....." .. Amount$
BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANAL Lab#: Lab#: _ I C (circle tests) (circle tests) -/( 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) 3. Coliform MPN (priv well, raw, stp) 4UP ameVolatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 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) (608/8081) 6. Macroscopic 7 Pesticides/PCB screen (508) 7. Methoprene(616)
Cler ."191* - 8. PCB as Decachlorobiphenyl (508A) 9. Herbicides (515) ' 10) Pesticides (525) j 8. Herbicides (EPA1978/8151) 9. Pesticides (SM18/6630) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Glycols • ‘ Chlorinated:? yes n 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: .......................
INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) 39. Aluminum h A - ■ is . ■■ * ■■■
1. Color 20. Acidity 59. Potassium • 2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony - 60. Selenium 3. pH 22. Bromide . • 41. Arsenic : •• 61. Silver /_ 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium ' J 62. Sodium / . 5. Corrosivity (temp: °C) 24. Chloride ' 43. Beryllium . < • ' 63. Thallium' ( : / 6. BOD (5 day) : 25. Cyanide : 44. Boron • ; 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOs 46. Calcium, as CaCOs CLP 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 smolids. Suspended 34. Phosphorus Total as P • ' 53. Lead ' . • 71 .TCLP-Metals 1. Solids, Total 35. Phosphorus, Ortho as P. • 54 Magnesium _ 72.TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55 Manganese 73. TCLP-Herbicides 18. Solids, Total Volatile 37. Surfactants — • ' 56. Mercury ' 74. TCLP-Volatiles 19. Other: : _ 38. UV254 57 Molybdenum • • 75. TCLP-BNA’s 58. Nickel / i
NYC-WTC_000026785
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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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