Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
NYC-WTC_000027107–000027114Folder label: “24046”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document PT .. ............. , """ |,J..................... y" nunnslau a **, —=opg* ./ • ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
IM Ulestchester County Time/Date Set:_______ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 . NYS-ELAP No. 10108 Form A-70 (rev. 1/96) “ample Type (circle one): olptce 6/49 7660 060 1A Potable 3. Non-Potable Treated 2ma2,$47 $994 954/9,.378 $29* 2. Non-Potable 4. Other____________ Chain of Custody? yes .no Time/Date Collected:. ( 2 38 Comments: Collected By:o%ots LA .Agency Code:. PWS __________ Source ID: Type Descriptor:. Collected From: Bill to: Location’s/Individual’s Name Name/Company Street ______________ _ Street__________ City/St/Zip________________ City/St/Zip Identification of Source. DeP# Phone#:, Fax #: -45*- Collection Point 3c 29796 CA, CH, BI?, Check#: .tai .j _ Amounts 1 -========= __ _ _________________ V: A i _______ BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:______________________ Lab #:_____________________ Y (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 (7.) Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) A p& Other:; 9. Herbicides (515) 9. Petroleum Hydrocarbon Scan (31 0-13) (^Pesticides (525) . 10. Glycols in Water • “Refrigerated?yes no IT Carbamate Pesticides (531) 11. Acid Extractables (625/8270) L. .' 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) ‘ Chlorinated?: ves no ? 13. Diquat (549) 13. GC/MS Unknown Scan 2202 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF)"* f S ' Free Chlorine Res:. ________ mg/L; 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF)" r 16. Other Pesticides (SM-18/6630) . ,16. Pesticides (DEF) 23 Total Chlorine Res: mg/L* •17. Petroleum/Hydrocarbon Scan (310-13). 17. PCB’s(Arochlors)(DEF)* t - r . , f
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pH : p—r 84----— /)C ___—— INORGANIC ANALYSES REQUESTEDYLab#: / (circle tests) 1. Color ’ " t :20. Acidity - 059= Maals - 2: ■ C 39. Aluminum ■ 59. Potassium 2. Turbidity 21. Akalinity, as CaCOs 40. Antimony 60. Selenium 3. pH 20. Bromide 41. Arsenic 61. Silver ; 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium’ — 5. Corrosivity (temp: °C) 28, Chloride 43. Beryllium . 63. Thallium * g 6. BOD (5 day) 25. Cyanide 44. Boron 64. Vanadium, . ’ 5 , 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc ■ 4 ? 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCO3 46. Calcium, as CaCOs CLP s 6 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47. Calcium, Ca*2 66. Metais/CN * "*1 ' 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48. Chromium, Total 67. Volatiles • * 3 ‘ . 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 14. Solids, Settleable 33. Phenol 52. Iron ISLE 25. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 1 •6. 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-Voiatiles 19. Other:_________________ 38. UV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel
NYC-WTC_000027114
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NYC-WTC_000026945
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 0.998
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027437
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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027723
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 0.996
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 0.996
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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027641
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 0.996
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 0.996
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 0.995
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070569
Chain of custody documentation for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072362
Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.995
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