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
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ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH Jorchenarcounty 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 e/Date Set:_______ C 5 024 5 - • 3 74 Form A-70 (rev. 1/96) Sample Type (circle one): C ; 20147'7'8 7 2773 1. potable 3. Non-Potable Treated Bomiahs 6921, X)6,2223__________ 2. Non-Potable 4. Other_____________ Chain of Custody?_____yes .no Time/Date Collected:. o ( ■ i 7 5 * Comments:_____________ Collected By: ‘a1 / Agency Code: PWS#:_______ .Source ID:. Type Descriptor Collected From: Bill to: Location’s/Individual’s Name. 4 LUIA E0 Name/Company. Street_______________ ___ Street________ City/St/Zip_______________ City/St/Zip_____ Identification of Source_ Phone#: .Fax#:, Collection Point DX 5% CA, CH, Bl?. Check#:., ‘ Amounts.
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:____________________ Lab #: (circle tests) (circle tests) Purgeable Halocarbons (624/8260) & 1. Trihalomethanes (524) 1.
3 1. Heterotrophic Plate Count (hemodialysis & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) t* t 2. Coliform P/A (public supplies) 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. 6. PCB’s (Arochlors) (608/8080) 6. Macroscopic . Pesticides/PCB screen (508) " 7. Herbicides (SM-18/6640; 8151) -
@P “Other:___________________ 8. PCB as Decachlorobiphenyl 9. Herbicides (515) (10. Pesticides (525) (508A).
. 8. Other Pesticides (SM-1 8/6630) 9. Petroleum Hydrocarbon Scan (310-13) 10. Glycols in Water .. Refrigerated? yes no 11. Carbamate Pesticides (531) 11 t 11. Acid Extractables (625/8270) 12. Glyphosate (547) ' Y* 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 Chionne Res:. mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) t. 16. Pesticides (DEF) Total Chlorine Res: .mg/L 17. Petroleum/Hydrocarbon Scan (310-12. 17. PCB’s (Arochlors) (DEF) —-—. pH INORGANIC ANALYSES REQUESTED - Lab#:. (circle tests) 6 M$ 8 3 1. Color 20. Acidity 39. Aluminum 59. Potassium 2. T urbidity 21. Alkalinity, as CaCOa 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 61 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 CaCO3 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 ■A Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables M Solids, Settleable 33. Phenol 52. Iron ISLE 15. Solids, Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 54. Magnesium 72. TCLP-Resticides 17. Solids, Total Dissolved 36. Sulfates 55. Manganese 73. TCLP-Herbicides 18. Solids. Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other:_________________ 38. UV254 57. Molybdenum 75. TCLP-BNA’S 58. Nickel ___________ A_ -__ ku . doasmchanoa NYC-WTC_000027810
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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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