Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
NYC-WTC_000026922–000026925Folder label: “23842”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
III ENVIRONMENTAL SERVICES SAMPLE SUBMISSON FORM WLSTCHESTTR COUNTY I APONATORIES ANO nr st arch 2 Dana Road, Valhalla, New York 10595 ’ • j********s.*4nf 14 593-5 75 NYS-ELAP No. 101 Time/Date Set:_ Form A-70 (rev. 1/96) 7- , Sample Type (circle one): 1. Potable ) 3. Non-Potable Treated Bottle #‘s:2_______________ 2 2.' Non-Potable 4. Other_______ _ _____ Chain of Custody?yes_____ no Time/Date Collected: 042′7 . . ...... Comments: _________________ ____ J ' Collected ByTIAN RecoTTAgency Code:__ PWS #: Source ID:_______ Type Descriptor:___ Collected From: Bill to: Location’s/Individual’s Name_ ■ Name ‘Company.. Street L / j ( Street______ Caty/StZip_____ _ _ s_ Al City/St'Zip_______ Identification of Source____ Phoned: _ __ Fax #: I Collection Point___ ______ CA, CH, Bi? Check#....... Amount?
i 0 •; on or - / ANAYSL } F ORGANIC POT ABLE ANALYSES im; . *sls NFOA/.I s II ANAE Ye s Lab#: (circle tests)—=== ab# ■ “(circle tests)— 1. Heterotrophic Plate 1. 1 rihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hempdialysis & all others) f 2.) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Cobform P/A (public supplies) 3/ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trhalomethane Potential (510) 4. Phthalates (606/8060) 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) 7.ARL 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) 3. Other:
Refrigerated? __ yes Hi- 9. Herbicides (515) 10f Pesticides (525) 10. Glycols in Water Pr 11. Carbamate Pesticides (531) 9. Petroleum Hydrocarbon Scan (310-13)
11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chionnated?: vesno $13. Diquat (549) e 13. GC/MS Unknown Scan 14. Chlorsnation 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) Tota Chlorine Res: mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF) - U
PH _ P r i7 I INORGANIC ANALYSES REQUESTED - Lab# “(circle tests) " 1.Cooru 23277 Te i(ya0< Ae 20 Acdity 39. Aluminum 59. Potassium 2. Turbidity 0 21.' Alkalinity, as CaCOs 40? Antimony 60. Selenium 3PH. 4. Conductivity - 22 Bromide — 23 Bromate/Chiorate/Chlorite 41. Arsenic 42. Barium 61. Silver 62. Sodium 5. Corrosivity (temp:______ °C) 6. BOD (5 day) 25.Cyanide"rndn -26. 24. Chloride .
Fluoride 44. Boron . 43 Beryllium 64.63. Vanadium Thallium —--- eVl 7. Soluble BOD (5 day) 8. Carbonaceous BOD (5 day) 127. Hardness, Total as CaCOs— 45. Cadmium 46. Calcium, as CaCOs 65. Zinc _ __ CLP TAT) 66. Metals/CN 9. Chemical Oxygen Demand 10. Dissolved Oxygen 129. 130. NiNittrogen, N‘ NiNittriratete asasN 28. Nitrogen, Ammonia as N
rogen, 47. Calcium, Ca’2 48. Chromium, Total 67. Volatiles At 68.Semi-volatiles 11. Total Organic Carbon
1113. Sol i d s. Percent ( 12. Total Organic Halides . %)sid _31. 32. Ni011trogen. and Total Kieldahl as Nt (50, Grease 49. Chromium, Hexavalent
51. Cobalt m Copper Ee 69.Pesticides/PCB‘s 44. Sol i d s. Settl e abl e _ 33 Phenol Total asasR. _52.Iron_td 70. Disk Deliverables TCLPMmae 15.Solids. Total.435.36.34. Phosphorus. 116. Solids Suspended Phosphorus. Sulfates-al Ortho R _ 53. Lead 54. -99 Magnesium. 55. Manganese I Z1.TCLP-Metals 72.TCLP-Pesticides 18. Sol i d s. Iota Vol 17. Solids, Total Dissolved a ti l e n 19 Other n138.UV254_n 57, Molybdenum Ma "37. Surfactants e “56. Mercury neeoN 73. TCLP-Herbicides 74. TCLP-Volatiles . ■ 75.TCLP-BNA‘s “58. Nickel y NYC-WTC_000026923
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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 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026585
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 0.990
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 0.990
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 0.990
machine-extracted · confidence unavailable · Check page ↗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 0.990
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 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027019
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 0.990
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 0.989
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 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071530
Form tracking samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070870
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
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070981
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including contact information.
11 shared non-person entities · 1 shared topics · similarity 0.989
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