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
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III IVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 Uestnost oUny NYS-ELAP No. 10108 (914) 593-5575 Date Set___ ____ _______ Form A-70 (rev. 1/96) Sample Type (circle one): 230,00“0,1831,0f,7z0,ilb4—R (1. Potable - 3. Non-Potable Treated Bottle #s: 8313 332S y f 232 7.33s69 835, 9 2. Non-Potable 4. Other__________ Chain of Custody? ves_____ no 0980 Comments: “________
o Time/Date Collilected: Collected By:_] Collected From: .Agency Code: .2 • PWS #:________ Bill to: W Source ID; * ' Type Descriptor;
Location's/Individual's Name. S4D / 4604 d so Name/Company U1.________ Street_________ __________ 4 • Street 4. City/St/Zip_______________ ________ __ e Cay/SvZip_ ______ ___________________ ;_________ Identification of Source • -_______ D&PIAB“ et Phone#:_. . 4, Fax*: : Collection Point 588S0 29315 fl CA, CH, BI? 4TChecki: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ~ “40 M. ........................... ^ ORGANIC NONPOTABLE/SOLID ANALYSES ■
C Lab#: (circle tests) _______________
1. Heterotrophic Plate Lab #:__ (circle tests) 1. Trihalomethanes (524) 4 An I a N ayi 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) c 2. Volatile Halocarbons (524) $ h. 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) ( 3. Volatile Aromatics (524) 27 3. Acrolein & Acrylonitrile (624): 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) 5. Microscopic 6. Pesticides (507) tel 6. PCB’s (Arochlors) (608/8080) 6. Macroscopic ( . Pesticides/PCB screen (508) 7. Herbicides (SM-1 8/6640; 8151) 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) __ 9. Herbicides (515) ; 9. Petroleum Hydrocarbon Scan (310-13) 1 ( 10Pesticides (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. Purgeable 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. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF) <* pH. INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) 1. Color 20. Acidity --- N 39. Aluminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium 3. pH 22. Bromide 41. Arsenic 61. Silver A 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium y/(o C. 5. Corrosivity (temp: .°C) 24. Chloride 43. Beryllium 63. Thallium, SC =2 6. BOD (5 day) 25. Cyanide 44. Boron 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc 1________ 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOs 46. Calcium, as CaCO3 CLP i 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, Hexuvalent . 4 , 68. Semi-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt Psh i 69. Pesticides/PCB’s 13. Solids, Percent (%) 14Solids, Settleable 32. Oil and Grease 33. Phenol 51. Copper p*a."3e 52. Iron ? 225 70. Disk Deliverables_________ TCLP 10blids. Suspended 34. Phosphorus’ Total as P 53. Lead As . 71. TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 54. Maghesan., - 1, 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55. Manganese r ! 73.TCLP-Herbicides 18. Solids. Totai Volatile 37 Surfactants 74.TCLP-Volatiles. - fie-L. 19. Other:_________________ 38. UV254 57. Molyonenum,’. 75. TCLP-BNA’s ' < .A. 2 .58.Nicta _ ... —_____ ------- _ ___ w naf — ***** —... “*0mala _ .... AA*tak NYC-WTC_000026867
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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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