Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
NYC-WTC_000027019–000027022Folder label: “23913”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
A*Y
III ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WFSTOHI STIR COUNTY LABORATORIES AND FFt- ARGH 2 Dana Road, Valhalla, New York 10595 Westchester County -914593-5575_ NYS-ELAP No. 101 •
ime/DateSet:__ ______ __ -___ Form A-70 (rev. 1/96) Sample Type (circle one): - * 7 C ■: 177 2 1. Potable J 3. Non-Potable Treated Bottle F’stc ■ eqie.d ■ 2, ’ No'n-'Potable 4. Other__ ____________ Chain of Custody’7 yes no ■ ,7 Time/Date Collected: Comments:______ —/ Collected By:_&__ L_ BZazl____ Agency Code:. .... PWS #_________ Source ID:__ Type Descriptor;___ Collected From t Bill to: Location’s/Individual’s Name__ J .. 25 N a me/C ompa ny _ Streets - Street City/StZip__ City/StZip__ Identification of Source__ Phonet _ ___ Fax#: [ Collection Point.. k | CA, CH. BP Check#: Amounts
BACTERIOLOGICAL ANALYSES i:(:4*/ : A:/: : < s ANC NO)NPXAHLi 2);.!) ANA! Y $ Labtibddtoe Lab #:__ 1 (circle tests) WTa (cir if- 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./ 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 (72 Pesticides/PCB screen (508) 1” Herbicides (SM-18/6640; 8151) "ARM Other . 8. PCB as Decachlorobiphenyl (508A) & Other Pesticides (SM-18/6630)
Refngerated_____ yes_____ no 4 9. Herbicides (515) 10. Pesticides (525) *11. Carbamate Pesticides (531) 10. Glycols in Water 9. --------- Petroleum Hydrocarbon Scan (310-13)
11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chlorinated'7: _....._ yes........ __.no 13. Diquat (549) 14. Chlorination Disinfection Byproducts (551) 13. GC/MS Unknown Scan ' 14. Purgeable Halocarbons (DEF) F tee Chlonne 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 1 7. Petroleun/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
LAH__ I INORGANIC ANALYSES REQUESTED - Labu: 21- (circle tests)—--=====V9====2=54549t99 yresl 1.-Coora 20. Ac dity 39. Aluminum 59. Potassium
3pH 2. Tutbidity
4. Conductivity 21. Alkalinity, as CaCO3 22. Bromide 2 3. B ro mat e/C h l o r a t e /C h l o r it e (40. Antimony 41. Arsenic 42Barium 60. Selenium ‘ / , 61. Silver : 62. Sodium i‘ /
5 Corrosivity (temp: °C) 24. Chloride ‘43-Beryllium 63: Thallium 6 BOD (5 day) 25. Cyanide 44. Boron 164,Vanadium 7. Soluble BOD (5 day) 26. Fluoride ■ 45. Cadmium 65. Zinc____ ____ 8. Carbonaceous BOD (5 day) 9. Chemical Oxygen Demand 27. Hardness, Total as CaCO3 28. Nitrogen, Ammonia as N 46. Calcium, as CaCOs 47. Calcium, Ca*? CLPWWTET 66. Metals/CN 10. Dissolved Oxygen 29. Nitogen, Nitrate as N 48. Chromium, Total 67. Volatiles : 11. Total Organic Carbon 12. Total Organic Halides 30. Nitrogen, Nitrite as N 149. Chromium, Hexavalent 31. Nit-ogen, Total Kjeldahl as N i (50. Cobalt 68. Semi-volatiles 0 Po/nana 13. Solids, Percent (%) L Sohds. Settleable 15. Sol i d s, Suspended 33 Phenol - 32. Oil and Grease 51. Copper ,52, Iron 53. Lead— 70. Disk Deliverables TCLPs 71.TCLP-Metals 16. 17. Solids. Total Solids, Total vvvd Dissolved 34. Phosphorus, Total as P
. 36. Sulfates — 35. Phosphorus, Ortho as P .54. Magnesium 55. Manganese— 72. TCLP-Pesticides
18. Sol i d s Total Vol a 19 Other suamasase 38.UV254 ti l e - 37. Surfactants njatd 156, Mercury ied ( 57! Molybdenum .73."TCLP-Herbicides 74. TCLP-Volatiles 75.TCLP-BNA‘s) A 58. Nickel Ifo NYC-WTC_000027020
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NYC-WTC_000026922
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 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026447
Document tracking the chain of custody for environmental samples submitted to the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.989
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 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027107
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 0.988
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026837
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 0.988
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 0.988
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027247
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 0.988
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027549
Document tracking the custody and handling of environmental samples submitted to the laboratory.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.988
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 0.990
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 0.988
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 0.988
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