Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.
NYC-WTC_000027572–000027575Folder label: “24488”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
III Ulestchester County ________ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914)593-5575 .
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NYS-ELAP No. 10108 Form A-70 (rev. 1/96) Sample Type (circle one): ( 028,HEMGt lodO/Kov7 kklel Bottle re: P‘79,P 02 , PFL902, 0H < 1. Potable. 3. Non-Potable Treated lChain of Custody?_____yes 2. .Non-Potable 4. Other_____________ 7 no Ko X7h
4 -Time/Date Collected:/- 2/"- Comments:. ) i A/oitiAa4N Agency Code: A Collected By: Collected From: PWS #:_______ Bill to: Source ID: Type Descriptor:
Location’s/Individual’s Name IW ( DGP Name/Company. Street H *# (AEe itiVe Street_______ Citv/SuZi onmch/h ‘/ 126 City/St/Zip Identification of Source. Phone#: _______ Fax ollection Point. Gst I CA, CH, BI? Check#; Amounts.
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:______________________ Lab #:____________________________ (circle tests) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 2.3 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 7.0 Pesticides/PCB screen (508) 7 Herbicides (SM-18/6640; 8151) / 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) her: 9. Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) (0! Pesticides (525) 10. Glycols in Water Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chlorinated?: .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/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
PH
INORGANIC ANALYSES REQUESTED - Lab#:. zt/ ■'ill (circle tests) 1. Color 20. Acidity 39. Aluminum 4— 59. Potassium' 2. T urbidity 21. Alkalinity, as CaCOa <40JAntimony AR ‘ /27 _ 60. Selenium 61. Silver 3. pH 22. Bromide 41. Arsenic 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 CaCOs 46. Calcium, as CaCO3 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 6 Solids, Settleable 33. Phenol 52. Iron TCLP W 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: ,* T$ 38. UV254 OT/Molybdenum 75. TCLP-BNA’s / j---------- — 58. Nickel
NYC-WTC_000027575
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NYC-WTC_000027549
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 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027356
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 0.992
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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 0.992
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Documentation tracking the transfer and handling of environmental samples between collection sites and the Westchester County Department of Labs.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
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.
10 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.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070981
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including contact information.
10 shared non-person entities · 1 shared topics · similarity 0.993
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.
10 shared non-person entities · 1 shared topics · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071530
Form tracking samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · similarity 0.992
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.
10 shared non-person entities · 1 shared topics · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070870
Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
10 shared non-person entities · 1 shared topics · similarity 0.992
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