Document tracking the custody and handling of environmental samples submitted to the laboratory.
NYC-WTC_000027271–000027278Folder label: “24287”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document = —**** $7 ▼
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
111 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) Sample Type (circle one): 26544 9 $6/7 2% 1. Potable s 3. Non-Potable Treated Bottle #’s: 9260, 6977 A 7754, 563.2 2 727 . 2. Non-Potable 4. Other____________ Chain of Custody?_____ yes .no Time/Date Collected:. /2/93// 797 Comments:_____________ Collected By: •* 2/ Agency Code: PWS#:_______ .Source ID:. .Type Descriptor:. Collected From: Bill to: Location’s/Individual’s Name. Name/Company. Street__________________ Street_______ _ _ _ Identification of Source *________ DcP 4 Phone#: Fax#: Collection Point 35950 . 300% 1 CA, CH, Bl?. Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:______________:________ Lab #:______ _____________________ (circle tests) tests) 0-61/) (ci1.rcleTrihalomw»anes (524) | C 1. Heterotrophic Plate 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. Organochlorineesticides (608/8080) Y 5. Microscopic 6. Pesticides (507) 6. PCB’s (Arochidis) (608/8080) ( 6. Macroscopic .. , _ 7.) Pesticides/PCB screen (508) 7. Herbicides (SM-1 8/6640; 8151) " 7. AP! .*.*=* < Other Pesticides (SM-18/6630) \ 57 PCB as Decachlorobiphenyl (508A)*** ) 8. Other:_______________ 9. Herbicides (515) d 9. Petroleum Hydrocarbon Scan (310-13) * 10) Pesticides (525) 10. Glycols in Water Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Acid Extractabies (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractabies (625/8270) . Chionnated?:-yes no 13. Diquat (549) (13.GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14.Purgeable Halocarbons (DEF) ** Free ChionneRes: =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)
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INORGANIC ANALYSES REQUESTED - Lab«: (circle tests) C — 1. Color 20. Acidity 39. Aluminum 59. Potassium $ •t atas
2. T urbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium an 3. pH 22. Bromide 41. Arsenic 61. Silver L #* % 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 CaCO3 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 14. Solids, Settleable 33. Phenol 52. Iron ISLE 15. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. 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. UV254 57. Molybdenum 75. TCLP-BNA's 58. Nickel .. . A s_sb3 * .'I l —
NYC-WTC_000027275
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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 0.998
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 0.998
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 0.997
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 0.997
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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027189
Document tracking the custody and handling of environmental samples submitted to the laboratory.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026260
Document tracking sample 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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000025875
Document tracking 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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026351
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 0.997
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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026779
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 0.996
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 ↗Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.
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