Form recording the chain of custody for samples analyzed by Westchester County Department of Labs and Research in October 2001.
NYC-WTC_000027513–000027515Folder label: “24481”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document PMa.’ whreepageppiroomgentr
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ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH s
2 Dana Road, Valhalla, New York 10595 Jesphertercourty (914) 593-5575 NYS-ELAPNo. 10108 “he/Date Set:______ Form A-70 (rev. 1/96) Sample Type (circle one): H'. (i, ‘ t ? i 24 1. Potable 3. Non-Potable Treated Bottle #s:lil,o8 4-52, 512o 2 i 2. Non-Potable 4. Other _________________ Chain of Custody? .yes no Time/Date Collected: i s12o ____ _ Am . Comments: Collected By: M N A f 9 ‘3 Agency Code: .Source ID:_______ Type Descriptor:. PWS#:_________ Collected From: Bill to: Location’s/Individual’s Name DRowk Name/Company Street_______________ ______________ Street__________ City/St/Zip____________ L_____________ City/St/Zip Identification of Source- - "be P*f Phone#.: Fax#: Collection Point Bx50___ CA, CH. Bl? Check#: Amounts.
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Labs:________ _______ Lab#:____ (circle tests) Uu X7 P l1, 1 (circle tests) *j 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) • ♦ .2 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) t 6. Macroscopic 7) Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) ________________ :__________ Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) .. Pesticides (525) 10. Glycols in Water Refrigerated? r„yes no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) ?
Chlorinated?: .yes no 12. Glyphosate (547) 13. Diquat (549) 18 13. Base Neutral Extractables (625/8270) GC/MS Unknown Scan 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. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
pH” INORGANIC ANALYSES REQUESTED - Lab#:. (circle tests) Mo 1. Color 20. Acidity 39. Aluminum 59. Potassium • 2. Turbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium 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 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 * olids. Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables WSoolids. Settleable 33. Phenol 52. Iron TCLP 15. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. Solids, Total it 35. Phosphorus, Ortho as P 54. Magnesium 72. TCLP-Pesticides 17. Solids, Totat Dissolved 36. Sulfates 55. Manganese 73. TCLP-Herbicides 18. Solids. Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other:X 38. UV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel ... ... _ _ • ..... • “th. a ss ♦. NYC-WTC_000027514
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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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027437
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027495
Document tracking the custody and handling of environmental samples submitted to the laboratory.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · 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 0.992
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 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071265
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.991
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 0.991
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_000071184
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including contact information.
11 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070652
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072168
Record tracking the chain of custody for environmental samples submitted to the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · similarity 0.991
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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