Chain of custody documentation for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000070783–000070791Folder label: “28662”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 Time/Date Set: Form A-70 (rey. W)
Sample Type (circle one): I.Potti^ :3. Non Potable Treated Bottle #’8: 2. Non Potable 4. Other__________ Chain of Custody? yes no Time/Date Colimned: z’2 Comments: Collected By: ____ Agency Code: PWS#:_______ Source ID: .Type Descriptor. -,^ Collected From: Bill to: Location’s/lndividual’s Name ? <^07/ Name/Company _ Street___________ r——x Street________ City/St/Zip .. City/St/Zlp Identification of Source __ Phone#:______ Fax#; Collection Point' 4' Check#: Arpc ==^ BACTERIOLOGICAL analysis ORGANICPOTABLEANAItYSIS ORGANIC NONPOTABLE/SOm Ai Lab#:^ Lab#:__ (circle tests) (circle tests) 'f' 1. Heterotrophic Plate 1. Trihalomethanes-(524) 1. Purgeable Halocarbons (624^: .,„ . .. Count (hemodialysis & all others) 2. Volatile Halocarbons (524) 2. Purgeable Aromafics (624^^^^ - 2. Coliform P/A (public supplies) 3. Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trlhalomethane Potential (510) 4. Phthalates (625/8270) 4. Fecal Coliform (^sahlples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) 5. Microscopic ' . 6z Pesticides (507) 6. PCB's (Arochlors) (608/8081) / 6. Macroscopic ^>Pe8«cides/PCB screen (508) 7. Methoprene (616) 7. API f & PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPAI978/8151) 8. Other__________________ Herbicides (515) 9. Pesticides (SMI8/6630) % Pesticides (525) ‘ 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes no 'll) 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) Cj£jBC/MS Semivolatile Unknown Scan Total Chlorine Res: _______ mg/L 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) 16. Pesticides (SMI8/6630) - 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) 18. Other_________ ■ - ■__________ 18.Other________________ ,
INORGANIC Analysis requested - Lab#: "/ X (circle tests) 1. Color 20. Acidity ■ ; 39.Aluminum • 59., Potassium 2. Turbidity : 21. Alkalinity, as CaCOs 40. Antimony ' SO.iSelenium 3. pH 22. Bromide 41. Arsenic _6VSilver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. ^um 62. Sodium 5. Corrosivity (temp;_____®C) 24. Chloride \43/Berylllum 63, Thallium 6. BOO (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 48.Chromium, Total 66. Metals/CN "c 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 67. Volatiles 11. Total Organic Carbon 30. Nitrogen, Nitrite as N Chromium, Hexavalent 68. Semi-violatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N /BO.pobalt 69.PesticidesZPCB’s 13. Solids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables 14. Solids, Settleable 33. Phenol 52. Iron 34. Phosphorus Total as P <53LLead ICLE 15. Solids, Suspended 71 .TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P 54 Magnesium 72.TCLP-Pesticides 'So 17. Solids, Total Dissolved 36. Sulfates .*^5 Manganese 56. Mercury 73.TCLP-Herblcldo8 S' 1,8. Solids, Total3/olatlle 37. Surfactants 74. TCLP-Volatiles 19. Other ■ 38. UV254 I 57 ^4oybdaium <5§>llct<el 75.TCLP-BNA’8 aa . .. NYC-WTC_000070786
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NYC-WTC_000070404
Record documenting the chain of custody 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 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070355
Record documenting the chain of custody 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 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071898
Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072603
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071089
Form documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072168
Record tracking the chain of custody for environmental samples submitted to the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072443
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070652
Record documenting the chain of custody 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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072522
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 0.991
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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.990
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 · Same agency, volume and box · similarity 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000063018
Chain of custody form for submitting environmental samples to a Westchester County laboratory facility.
11 shared non-person entities · 1 shared topics · similarity 0.994
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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Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
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