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
UI ENVIRCNMENTAL SERVICES SAMPLE SUBMISSION FORM WEST CHESTER COUNTY LARNEATORIES AND Fit DIARCH * 2 Dana Road, Valhalla, New York 10595 Uestchester County -91593-5 75 NYS-ELAP No. 101 For m A-70 (rev. 1/96) . ime/Date Set:__________ Sample Type (circle one): ‘) 1.) (ooqhaigang 20.7*9r. 1. Potable 3. Non-Potable Treated 'Bottle #'s:______ )_ :_____ ______ - 2. Non-Potable 4. Other.......... _ . Chain of Custody?_____ yes_____ no Time/Date Collected:_ _ Comments 3
Collected By:.____________ ____ Agency Code: PWS # ..Source ID:. Type Descriptor: Collected From: Bill to: 1. ocation's/Individual's Name_bt. Name/Company_ Street....'....... 1-..... .... Street / City/StZip_:__________ ICny/svzip_ Identification of Source___ Phoner: ___ Fax# Collection Point ....... * J CA, CH. BI?._ _ Check#: ... Amount$„
A ! : s d0Aj ANALYSN S ORGANl Pal A{ .( ANA! Y:: S ()- AN NoNO1A82 ! /SM.1* ANAS Y:1.5 Labedd (circle tests) Lab #:_____ _ __ _..... 1 .... A 1 (circle tests) : 1. Heterotrophic Plate Trihalomethanes (524) ■ 1. Purgeable Halocarbons (624/8260) . Count (hemodialysis S all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) ' 2 Coliform P/A (public supplies) (3. Volatile Aromatics (524) Ml Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 14, Phthalates (606/8060) 4. Fecal Coliform (ali samples) 5. Microextractables (504) 5, Organochlorine Pesticides (608/8080) 5. Microscopic T- : 6. Pesticides (507) r/7) Pesticides/PCB screen (508) .6, PCB’s (Arochlors) (608/8080) 6. Macroscopic 7 - Herbicides (SM-18/6640; 8151) 7.ARI 78. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) J Other I 9. Herbi (19. Pesticciiddeses (525) (515) 9. Petroleum Hydrocarbon Scan (310-13) • • 10. Glycols in Water Refgerated?____ yes. no 11 Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) . Chlorinated7: yes..___ no 13. Diquat (549) —eu 14. Chlonnation Disinfection Byproducts (551) 13. GC/MS Unknown Scan 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) 9 ■ 1. Color a 20. Acidity 39. Aluminum 59. Potassium 2 Turbidity 21. Alkalinity, as CaCO3 40. Antimony- 60. Selenium s/ > . PH 23. Biomate/Chlorate/Chlorite 4. Conductivity 22. Bromide Ai . Arsenic 42. Barium 61. Silver 62. Sodium ; (/ : 5 Corrosivity (temp: _____ °C) 24. Chloride 43. Beryllium • 63. Thallium J 6. BOD (5 day) 25. Cyanide 44. Boron •.. 64. Vanadium : 7, Soluble BOD (5 day) 26. Fluoride 45. Cadmium -65. Zinc ds 8. Carbonacecus BOD (5 day) 27. Hardness, Total as CaCO3 46. Calcium, as CaCOa CLP 9. Chemical Oxygen Demand 10. Dissolved Oxygen 11. Total Organic Carbon 28. Nitrogen. Ammonia as N 29. Nitrogen, Nitrate as N 30. Nitrogen, Nitrite as N r 47. Calcium, Ca"2 48, Chromium, Total 49. Chromium, Hexavalent ■ 67. Volatiles I 66. Metals/CN
68. Semi -volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N . 50; Cobalt 69. Pesticides/PCB’s 32. 011 and Grease r 51. Copper 13. Sohds, Percent (%) 4. Solids, Settleable 33_PhenoL___ 52. 53. Iron Lead esium_ " 70. Disk Deliverables TCLPemt 16. Solids, Total s 15 Solids, Suspended 34. Phosphorus. Total as P 154.Maqn 71.TCLP-Metals ■1173.TCLP-Herbicides 72.TOLP-Pesticides 17, Solids, Total Dissolved Sulfates l -56.55. Manganese 36.37.SurtactantsaTatr 35. Phosphorus, Ortho as P
Mercury ‘ 74.TCLP-Volatilesai 1 19.Pther—nSN” 18 Solids. Total Volatile 38.UV254s 657.Mol ybdenum 58. Nickel ‘ l75.TCLP-BNA‘s
NYC-WTC_000027021
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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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