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 , f -prgpts r........
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM ster WESTCHESTER COUNTY LABORATORIES AND RESEARCH vcom 2 Dana Road, Valhalla, New York 10595 (914) 593-5575
♦ ate Set: t NYS-ELAP No. 10108 Form A7&rev,1/96) Sample Type (circle one): 74/28. 2 54 ■). u 36 2.772 "*3s) ( 1. Potable 3. Non Potable Treated Bottle #‘s:_________ _________________________ 2. Non Potable 4. Other Chain of Custody? - yes no Time/Date Collected: /0///0A Comments: Collected By: C. TScs Agency Code: PWS#:________ Source ID: .Type Descripton Collected From: Bill to: Location’s/Individual’s Name @QA/ Name/Company 6 Street________________ Street_________ City/St/ZIp_____________ City/St/Zip______ Identification of Source__ I LeP# Phone#:______ Fax#: Collection Point 44 /20 3in01 CA,CH,BI?_ Check#: Amounts ‘
BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOUD ANALYSIS, Lab#:____________________ (circle tests) Lab#:______________________ (circle tests) 5at 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) 3. Coilform 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 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) T 6.0roscopic 7. Pesticides/PCB screen (508) 7. Methoprene (616) 7.AP 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPA1978/8151) 8. Other:______ ____________ 9. Herbicides (515) 9. Pesticides (SM18/6630) Refrigerated? Chlorinated:? yes yes no no I Pesticides (525) Carbamate Pesticides (531) 12. Glyphosate (547) 10. Petroleum Hydrocarbon Scan (310-13) 11. Glycols 12. Add 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 Total Chlorine Res: mg/L 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) - 16. Pesticides (SM18/6630) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB's (DEF) ■ 53 18. Other_______________________ 18. Other________________ 1 tt A— INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) 1. Color 20. Acidity J44- 39.‘Aluminum VWWUk 59. Potassium l 2. Turbidity 21. Alkalinity, as CaCO3 40. Antimony 60. Selenium 41. Arsenic / 3. pH 22. Bromide 61. Silver i 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 46. Chromium, Total 67. Volatiles 11. Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68.Semi-violatiles 50. Cobalt * 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 69. Pesticides/PCB’s tSolids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables (Solids, Settleable 33. Phenol 52. Iron 34. Phosphorus Total as P 53.Lead TCLP 15. Solids, Suspended 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 19. Other:________________ 38. UV254 57 Molyodenum 74. TCLP-Volatiles 75.TCLP-BNAS 58. Nickel
rimiahdai uds NYC-WTC_000027809
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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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