Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.
NYC-WTC_000026864–000026871Folder label: “23833”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document "eP
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
III TiDateSet:______ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 _ NYS-ELAP No. 10108 ____________________________ Form A-70 (rev. 1/96) Sailple Type (circle one): 8630, o3/1, 088, (29“,7S8 3 Potable • 3. Non-Potable Treated Botle #s:O2,%01 8830,8820,8837 6614 2. Non-Potable 4. Other _____________________ Chain of Custody? yes no Time/Date Collected: 9/78/2b6/ 75*______ Comments: Collected By:. M/PA, Collected From: Mhgiley/6er79 F Agency Code:_______ PWS #:_________ .Source ID:. .Type Descriptor: Bill to: Location’s/Individual’s Name. ~Ovi@w) eAauor Name/Company Street_______________ Street__________ City/St/Zip___________ City/St/Zip Identification of Source_: Phone#:_ .Fax #:. : Collection Point. 8,5% CA.CH,-Bl? Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES J ORGANIC NONPOTABLE/SOLID ANALYSES y ... *a ..
Lab#:______________________ Lab _ _____ (circle tests) 2 , C , S 24 . i (circle tests) 1. Heterotrophic Plate 1.Trihalomethanes (524) Purgeable Halocarbons (624/8260) is , 1. Count (hemodialysis & all others) 2.2Volatile Halocarbons (524) \ 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) 3.olatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 4. Total Trihalomethane Potential (510) 3. Coliform MPN (priv well, raw, stp) 4. Phthalates (606/8060) 22 4. Fecal Coliform (all samples) 5. Microextractables (504) : 5. Organochlorine Pesticides (608/8080) £ ' 5. Microscopic 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8080) . r" 6. Macroscopic 1Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) __ 9, Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) 10. Pesticides (525) 10. Glycols in Water Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chlorinated?: .yes. no 13. Diquat (549) 13. GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeabie Halocarbons (DEF) Free Chlorine Res:. mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: .mg/L 17. Petroieum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
pH. —-amscatt 7
#— INORGANIC ANALYSES REQUESTED • Lab#:. (cirele tests) hud/ 1. Color 20. Acidity 39. Aluminum 59. Potassium C0 2. T urbidity 21. Alkalinity, as CaCO3 40. Antimony 60. Selenium 5 6 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 " 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 CaCO3 46. Calcium, as CaCO3 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-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB’s 13. Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables_______ 1/Solids, Settleable 33. Phenol 52. Iron TCLP Nolids, Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. 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 ... NYC-WTC_000026866
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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 0.998
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 0.997
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 0.997
machine-extracted · confidence unavailable · Check page ↗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_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 0.997
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 0.997
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 0.997
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 0.997
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 0.997
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_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 0.996
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
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