Document tracking the custody and handling of environmental samples submitted to the laboratory.
NYC-WTC_000027414–000027417Folder label: “24429”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ill ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WEST:Hr GTER COUNTY I ABORATORES AND M-ARCil 2 Dana Road, Valhalla, New York 10595 ilestchester County 12121121/2/11(914)593-5575 NYS-ELAP No. 1 Time/Date Set: =======--- Form A-70 (rev, T 1120, 1 58) "EtpTno ,“4-"751 Sample Type (circle one): ( 1. Potable D 3. Non-Potable Treated Bottle #s:l50 QQ94/A0 0009 2. Non- Potable 4. Other_____ Chain of Custody?__ Lyes_ —no +9124 MA81 —r i -Time/Date Collected: A/ /0-5-O] Comments: _______________ ______ — _ /
Collected _____________________ ____ Agency Code:..... ... ' PWS _ ________ Source ID'_______ Type Descriptor:___ Collected From: Bill to: Me/ Location’s/Individual’s Name? 2S__ 12 __ _________ Name/Company . Street _ ‘L MA S C _ P c wStreetm Cty/StZip__MBsLkuszk., NY ... 1£.572. City/StZip Identification of Source....... ..... ......... . ......... . ..... ....... 1... _ Phone#:. ..... ....Fax #:_ Collection Point... AL t_............... __ [ CA, CH. B1? Check#:_________ Amounts
BACTERIOLOGICAL ANALYSES i ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES L ab#i___ ____ _ ________ _ _ _ : Lab #:_ _ ___ 4.. |.. i.. _L (crle tests) ; (circle tests) * >= J 1. Heterotrophic Plate i 1. Trihalomethanes (524) ’ • 1. Purgeable Halocarbons (624/8260) Count (hemodiaVS-&all others) /2\ Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2 Colifo-m P/A (public supplies) \3// Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Cofiform MPN (prv well, raw. stp) ■ 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal CoWorm (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.APM 8. Other? ____ 8. PCB Cas Decachlorobiphenyl (508A) 9. Herbicides (515) 4- Other Pesticides (SM-18/6630) -9. Petroleum Hydrocarbon Scan (310-13) (io)Pesticides (525) 10. Glycols in Water Refrigerated? vesO 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chtonnated”: yes_____ no 13. Diquat (549) (13)GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 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/ lydrocarbon Scan (310-1 3) 17. PCB's (Arochlors) (DEF)
|pH _
INORGANIC ANALYSES REQUESTED ■ Labi/: (circle tests) amgoa 1.Color 2. Turbidity 20. Acidity 39. Aluminum •40. Antimony 59. Potassium 21 Alkalinity, as CaCOj 60. Selenium 8pH 22. Bromide 41. Arsenic 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium ( } , 5 Corrosivity (temp:___ °C) 24 Chloride (43. Beryllium (63. Thallium ! J i t j 6. BOD (5 day) 7. Soluble BOD (5 day) 25.26. Fluorde eag Cyanide 500 44. Boron 45. Cadmium " 64. Vanadium 65. Zinc _ _ ____ ' *
8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCO3 46. Calcium, as CaCOj 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-volatiies 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N . >50, Cobalt 69. Pesticides/PCB’s
----- 152. Iron 13. Solids, Percent (L) 14. Solids, Settleable 32. Oil and Grease 33, Phenol 51. Copper
53. Lead ehng an 70. Disk Deliverables
TCLPpetnng 16. Solids, Total ----4 36.Sulfatesees - 55. Manganese e 15. Sohds. Suspended 34. Phosphorus, Total as P 35, Phosphorus, Ortho as P 54. Magnesium 71. TCLP-Metals 72. TCLP-Pesticides 1,7.. Solids. Total Dissolved
19Omhe r==mtd 37. Surfactants 56.Mercurv. 18. Solids. Total Volatile (57. Molybdenum " 74.TCLP-Volatiles ,3 1Pi lelaoe
—M 38.UV254ren 58. Nickel : ICPENA’s
NYC-WTC_000027417
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NYC-WTC_000027618
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 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026753
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_000027781
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 0.987
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 0.987
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 0.987
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 0.986
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 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026669
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 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026695
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 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026922
Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.986
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 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071002
Form documenting the chain of custody for samples submitted to the Westchester County Department of Labs & Research.
11 shared non-person entities · 1 shared topics · similarity 0.986
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