Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000070268–000070270Folder label: “28229”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
Tlme/Date Set: /.com WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 © NYS-ELAP No. 10108 Form A-70 (rev.1/96)
(circle one): I.PI 3. Non Potable Treated • Bottle #'8: 2. Non Potable ■4. Other___________ Chain of Custody? yes no Tlme/Date Collected: / . Comments: Coliected By: f f a- m ( [ > ■, Agency Code: PWS#:_______ .Source ID: .Typo Descriptor: Collected From: Bill to: Location’s/lndlviduars Name Name/Company Street ___ ____________ Street________ CIty/St/ZIp_______ - , . City/StfZlp„^___ . Identification of Source eollecilon'Pol^l;iSSS^^6§^ Fax#: 3 Check#:
ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOUD f (circleteste) 1. Heterotrophic Plate 1. Trihalomethane® (524) , ; . . / 1. Purgeable Halocarbons (624/8280) Count (hemodialysis & an ottwrs) ,2. Volatile Halocarbons (Oa .2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public suppiles) / 3. Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (privweB,raw,8lp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270) 4. Fecal Coliform (an san^les) - 5. Mlcroextractables (504) 5. Organochlorine Pesticides (608/8081) 5. Microscopic ^Pesticides (507) 6. PCB’s (Arochlors) (608/8081) 6. Macroscopic ^Pesticides/PCB screen (508) 7. Mefooprene(616) 7. API 8? PCB as Decachlorobiphenyl (S08A) 8. Herbicides (EPA1978/8151) 8. Other __ ________________ ^Herbicides (515) 9. Pesticides (SMI8/6630) /Pesticides (525) 1O. Petroleum Hydrocarbon Scan (310-13) ' Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Glycols ' Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) 13. Base Neutral Extractables (625^270) Free Chlorine Res:. mgZL 14. Chlorination Disinfection Byproducts (551) i4?GC/MS Semivolatile Unknown Scan Total Chlorine Res: _ mg/L 15. Haloacetic Acids (552) YjC Purgeable Halocarbons (DEF) 16. Pesticides (SM18/6630) ' 16. Purgeable Aromatics (DEF) pH 17. Pettdeum/Hydrocarbon Scan (316-13) 17. PestIcidos/PCB’s (DEF) '? 18. Other_______________________ 18. other. & £ INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) 1. Color 2. Turbidity 3. pH 4. Conductivity .“C) 20. Acidity 21. Alkalinity, as CaCOs 22. Bromide 23. Bromate/Chlorate/Chlorite 24. Chloride B Wumlnum \ntimony \rsenic Barium Beryllium 59. Potassium ^b^lenium ^^ilver ^Sodium Thallium 5. Corrosivity (temp:. 6. BOD (5 day) 25. Cyanide 44. Boron Vanadium 7. Soluble BOD (5 day) 26. Ruoride 45. Cadmium 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOs 46. Calcium, as CaCOs 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 47.Calclum, Ca*® 66. Metals/CN 10. Dissolved Orfgen 29. Nitrogen, Nitrate as N (^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 obait 69.Pesticides/PCB’8 13. Solids, Percent (%) 32. Oil an Grease oppor 70. Disk Deliverables 14. Solids, Settleable 33. Phenol on TCLP 15. Solids, Suspended 34. Phosphorus Total as P sad 71 .TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 54 Magnesium 72.TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 73.TCLP-Herbicide8 Solids, Total Volatile 37. Surfactants 74. TCLP-Volatiles Mother __SrU- 38. UV254 75.TCLP-BNA’S r NYC-WTC_000070269
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NYC-WTC_000070783
Chain of custody documentation for samples submitted to the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070629
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070441
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.985
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072837
Document tracking the transfer of environmental samples to Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.984
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070404
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.984
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070392
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074358
Documentation tracking the custody and transfer of environmental samples to the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073502
Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072929
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs.
8 shared non-person entities · 1 shared topics · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073119
Document recording sample chain of custody for the Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074995
Form documenting the chain of custody for samples submitted to or received from the Westchester County laboratory.
8 shared non-person entities · 1 shared topics · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074218
Document tracking sample transfer to Westchester County Department of Labs and Research.
8 shared non-person entities · 1 shared topics · similarity 0.982
machine-extracted · confidence unavailable · Check page ↗Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.
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