Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000027804–000027811Folder label: “24944”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document J.
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM ster WESTCHESTER COUNTY LABORATORIES AND RESEARCH iv.com 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 10Date Set: C P Form A-70 (rev, 1/96) 367 of 290202N Sample Type (circle one): i.Potable 3. Non Potable Treated Bom”5M£ $ Chain of Custody?_ S ) , 2 C 7 7 2 2?7, 95/> Ar P 2. Non Potable 4. Other yes no Time/Date Collected: Collected By: & • .039— //” Agency Code: Comments: _ Source ID: Type Descriptor: Collected From: Bill to: Location’s/ndividual’s Name A15 Name/Company Street________________ Street__________ City/St/Zip_____________ City/St/ZIp Identification of Source bt* Phone#:________ Fax# Collection Point 992 3102% 2 gr 4 .. ■ _____ * Check# . 0 P Amounts.
BACTERIOLOGICAL ANALvsis ORGANIC POTABLE ANALYSIS { ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#:_____ _ Pt Lab#:________________ . (circle tests) (circle tests) 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) N3 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270) 12 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) “ 5. Microscopic 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) 6(croscopic (7. Pesticides/PCB screen (508) 7. Methoprene (616) 7" 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 11. Glycols 11. Carbamate Pesticides (531) 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) 16. Purgeable Aromatics (DEF) PH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other._______________________ 18. Other.___________________ ___
INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) 1. Color 20. Acidity -4 * 1050 ANolo 39. Aluminum 59. Potassium t3 2. Turbidity 21. Alkalinity, as CaCO3 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 PP 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-violatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50.Cobalt 69. Pesticides/PCB’s 10 Solids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables CSolids, Settleable 33. Phenol . 52. Iron 53 .Lead TCLP 15. Solids, Suspended 34. Phosphorus Total as P 54 Magnesium 71 TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 72.TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55 Manganese 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 = _ _di ond — tsbdakoSans NYC-WTC_000027805
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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_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_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_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 0.997
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_000026779
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_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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027189
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 0.996
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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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