Document tracking the custody and handling of environmental samples submitted to the laboratory.
NYC-WTC_000027437–000027445Folder label: “24472”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document T f
IL “he/Date Set:_______ Sample Type (circle one): ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575
979 7, 5122 2*2072>} NYS-ELAP No. 10108 Form A-70 (rev. 1/96)
(] Potable 3. Non-Potable Treated sl Bonle w=/25 *¥* $27,20/701/ 2. Non-Potable 4. Other_______ _____ Chain of Custody? .yes no Time/Date Collected: /) -s ____________ 7/ A Comments: Collected By: T Bot~ Agency Code: PWS #:_________ .Source ID:. Type Descriptor:. Collected From: Bill to: LocatiOn’s/Irrdividual’s Name GN % 4 Name/Company Street__________________________ Street__________ City/St/Zip__________________ _ City/St/Zip Identification of Source- T Phone#_ Fax#: Collection Point 78730 30359 CA, CH, BI?_ Check#: Amounts 91889"* ... . a-
BACTERIOLO ilCAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#“ * Lab#:__ ____ (.19 (circle tests) ! . (circle tests) 2 *1 1 / 1. Heterotrophic Plate id 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 2. Coliform P/A (public supplies) 3. Coliform MPN (priv well, raw, stp) 3 Volatile Halocarbons (524) Volatile Aromatics (524) 4. Total Trihalomethane Potential (510) 2. 3. 4. Purgeable Aromatics (624/8260) Acrolein & Acrylonitrile (624) Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080)
4, 5. Microsopics: .6. Macroscopic GP d Pesticides (507) Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyl (508A) 6. PCB’s (Arochlors) (608/8080) 7. Herbicides (SM-1 8/6640; 8151) 8. Other Pesticides (SM-18/6630) _ ______________________ 9. Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) ). Pesticides (525) 10. Glycols in Water Refrigerated? .no . Carbamate Pesticides (531) 11. Acid Extractables (625/8270) ties 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) 13 GC/MS Unknown Scan Chlorinated?: _yes_ .no 13. Diquat (549) 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) Free Chionne 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. Petroieum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
pH
INORGANIC ANALYSES REQUESTED - Lab#:. (circle tests) 1. Color 20. Acidity 39. Aluminum 40. Antimony No •T
59. Potassium 60. Selenium 2. T urbidity 21. Alkalinity, as CaCO3 3. pH 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 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 CaCOa 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 D Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables • Solids, Settleable 33. Phenol 52. Iron TCLP 15. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metais 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 _l uad X NYC-WTC_000027439
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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.
12 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_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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027356
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_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_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_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 0.997
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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071736
Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
11 shared non-person entities · 1 shared topics · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072080
Document recording the transfer and receipt of environmental samples at the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · 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 ↗NYC-WTC_000071567
Form tracking samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.996
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