Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.
NYC-WTC_000027723–000027730Folder label: “24872”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document 57.5"
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM We ster com WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 Gne/Date Set: , Form A-70 (rev. 1/96) i r 0177 4:6? 07 _ 3075021 97*776 9 Sample Type (circle one): /Potable 3. Non Potable Treated < 02 pkk.C9cou 3070s, 837 r 2. Non Potable 4. Other Chain of Custody? yes no Time/Date Collected: / 0/o —5+ Comments: Collected By: VA 5 > Agency Code: _ Source ID: .Type Descriptor: Collected From: Bill to: Location’s/Individual’s Name —2=8, 4 Name/Company _ Street___________________ Street_________ City/St/Zip______ ________ CIty/St/Zip Identification of Source AePH Phone#:_______ Fax#: Collection Point 1, Se 2 7P CA,CH, Bl? Check#; Amounts.
BACTERIOLOGICAL ANALYSIS . ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLR ANALYSIS Lab#:_______________________ Lab#:________________________ (circle tests) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 2. olatile 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 (625/8270) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) ' 5. Microscopic ^Macroscopic 6 Pesticides (507) 6. PCB's (Arochlors) (608/8081) 7.Pesticides/PCB screen (508) ................. .......,------- .— 7. Methoprene , (616) WAPI 8. PCB as Decachlorobiphenyl (508A) • \ 8. Herbicides (EPA1978/8151) 8. Other_____________________ 9. Herbicides (515) 9. Pesticides (SM18/6630) 10. Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes no Carbamate Pesticides (531) 11 Glycols Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) . 13. Base Neutral Extractables (625/8270) Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) 14. GC/MS Semivolatile Unknown Scan 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) Total Chlorine Res: mg/L 16. Pesticides (SM18/6630) n 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) . 18- Other:................................................................................................................. — .1
INORGANIC ANALYSiS3REQUESTED - Lab#: (circle tests) 1. Color * 20. Acidity D O2 39. Aluminum 59.Potassium t
2. Turbidity *,, 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium 1 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 CaCOs 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-violatlles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69.Pesticides/PCB’s 43 Solids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables t Solids, Settleable 33. Phenol 52. Iron TCLP 15. Solids, Suspended 34. Phosphorus Total as P 53.Lead 71 .TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 54 Magnesium 36. Sulfates 55 Manganese 72.TCLP-Pesticides 17. Solids, Total Dissolved 73.TCLP-Herbicides 18. Solids, Total Volatile 37. Surfactants 56. Mercury 38. UV254 57 Molybdenum 74. TCLP-Volatiles 19. Other_________________ 75.TCLP-BNAS 58. Nickel
NYC-WTC_000027725
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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_000027271
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_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_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_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_000027437
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_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 0.997
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 0.996
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
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071655
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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