Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.
NYC-WTC_000027042–000027044Folder label: “23947”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document ro0oorpruprppoprparpoyppov0vpy===========p ae I 2 EFa
UI ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 7422 NYS-ELAP No. 10108 _______________________________ 00, 73,753 7 Form A-70 (rev. 1/96) aample Type (circle one): 770 1. Potable 3. Non-Potable Treated Bottle #‘s:P — e ■ v 700 . 9 e • i T0— .no 2. Non-Potable 4. Other________ ____ Chain of Custody? _yes Time/Date Collected: _ _________________ 2."6Pu Comments: Collected By: // i A :( 7 Agency Code: PWS #:_________ .Source ID:. Type Descriptor:. Collected From: Bill to: Location’s/Individual’s Name______ — _ _ Street__________ City/St/Zip._______________________ Citv/SVZio Identification of ___________________ Phone#:_ Fax#:, Collection Point by 6 CA, CH, Bl?. 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) /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 73 Pesticides/PCB screen (508). 7. Herbicides (SM-18/6640; 8151) 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) 2 s8 Other: 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) Chlorinated?: .yes no . 13. Diquat (549) 13. GC/MS Unknown Scan $ . 14. Chlorination Disinfection Byproducts (551) : 14. Purgeable Halocarbons (DEF) Free Chlorine Res:, ma/L < 15. Haloacetic Acids (552) * 15. Purgeable Aromatics (DEF) ' 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: mg/L.a 17. Petroleum/Hydrocarbon Scan (310-13) . 17. PCB’s (Arochlors) (DEF)
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___ * 41 INORGANIC ANALYSES REQUESTED Lab#: (circle tests) 1. Color ’ ** % oqtt% AAJ/s 39. Aluminum 59. Potassium» 2. Turbidity 20 21, ACicity Alkalinity, as CaCO3 40. Antimony 60. Selenium ; 3. pH 41. Arsenic 61. Silver 4. Conductivity _ Bfomate/Chlorate/Chlorite 42. Barium 62. Sodium , 5. Corrosivity (temp: O.(C) +24. Chloride 43. Beryllium 63. Thallium \ • 6. BOD (5 day) • 25. Cyanide 44. Boron 64. Vanadium W l 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc________ V 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCO3 46. Calcium, as CaCOa 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 214. Solids, Settleable 33. Phenol 52. Iron' TCLP ( Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 1 "76. Solids, Total 35. Phosphorus, Ortho as P 54. Magnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55. Manganese 73. TCLP-Herbicides 18. Solids. Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other:_____________ 38. HV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel win th bn NYC-WTC_000027044
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NYC-WTC_000027531
Documentation tracking the transfer and handling of environmental samples between collection sites and the Westchester County Department of Labs.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
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 0.991
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.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027572
Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026945
Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071348
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071530
Form tracking samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070942
Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
10 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072249
Form documenting the transfer and logging of environmental samples at the Westchester County laboratory.
9 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072313
Form documenting the transfer and receipt of samples at the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · similarity 0.991
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.
10 shared non-person entities · 1 shared topics · similarity 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070207
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.990
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