NYC Law Department release
Independent mirror · updated as the City releases more · v1.2.6
← Document results/DEP Box 19/23900
Document / 10 pages

Chain of custody form, Westchester County Labs, undated

Machine-extracted title · confidence 90%

Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.

NYC-WTC_000026945–000026954

Folder label: “23900

Page image
Scanned page image, NYC-WTC_000026953
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document =========================================

’5 ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM

ML Uestchester County gme/Date Set: WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914)593-5575 ( ( ? i if . NYS-ELAPNo. 10108 _____ ______________ Form A-70 (rev. 1/96) “sampleType(circle one): CX - cso. 8020, gq0,s9u1 1 $523, 1-. Potable 3. Non-Potable Treated S8759gus, Bottle #s: 5045, 5942 7‘ co,7,7272,7326 0436, $3i5 2. Non-Potable 4. Other__________ Chain of Custody?yes no Time/Date Collected:__________________ Comments: Collected By: M. ACOUB .Agency Code:. PWS #:______ Source ID:. Type Descriptor:. Collected From: Bill to: Location's/Individual's Name Name/Company. Street____________________ Street_______ City/SVZip_________________ City/St/Zip____ Identification of Source_______ BTP LAP+ Phone#:. ======Fax#: Collection Point X 5% CA.CH, BI? Check#:. Amounts.

BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:____________________ Lab #:_________________________ (circle tests) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) /23) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform PIA (public supplies) 3. Volatile Aromatics (524) 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) 6. PCB’s (Arochlors) (608/8080) 6. Macroscopic (7.) Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) dOther 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) Chionnated?: 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#:. 44 (circle tests) 1. Color 20. Acidity 39. Aluminum Mal a — Potassium 2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony 1 1 60. Selenium 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 CaCOa 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-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 A Solids, Settleable 33. Phenol 52. Iron TCLP ( Solids, Suspended x 34. Phosphorus. Total as P 53. Lead 71.TCLP-Metals 1 16. Solids, Total 35. Phosphorus, Ortho as P 54. Magnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Suffates 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_000026953

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000026953Source: NYC Law Department, mirrored locally

Related records

Browse subjects →

Ranked by indexed similarity. Reasons describe shared subjects and filing context; check the source records.

Same-box records

Filed elsewhere

More like this page

Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.

Page similarity is temporarily unavailable or this page has no indexed vector.

Others also read

Readers open these alongside this record — through an Ask answer, the same folder, or indexed similarity. Not a claim they are about the same event.

NYC-WTC_000027107 · Box DEP Box 19

Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.

Similar indexed content

Compare copies and versions →