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 ANO RESEARCH 2 Dana Road. Valhalla, New York 10695 „ . (914)593-5575 M CJ NYS-ELAP No. 10108 Time/Date Set: Form A-70 (rev. 1/96) Sample Type (circle one): l^Potable 3. Non-Potable Treated Bottle#*s:C - 7^^ ~ '2.4
2. Non-Potable 4. Other ____________ Chain d Custody? .yes no TimeAJate Collected:, ; flul Z o ( Comments:_____ Collected By: Agency Code:_ PWS#:_________ .Source ID:. .Type Descriptor;. Collected From: - Bill to: Location’s/lndividual's Name________________ Name/Con^any Street _________ __________ ____________ Street City/St/ZiD Citv/St/Zip Identification of Soured____________ _____________ Phone»:_ ■ Fax#:. Collection Point M 3 I CA, CH. Bl? Check#: Amounts. * J.
ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID yseF
■ (e^teste).. 1.Purgeable Halocarborts'^24/8260) Trihalomelhanes (524)
2. Coliform P/A (public s.upplleS) 3. Coliform MPN (priv well. raw. stp) 4. Fecal Coltform (^ samples) ' a Voliatile Halocarbons(524) : Volatile Aromatics (524) Total Trihalomethane Potential (510) 5. Microextractables (504) 2. Purgeable Are 3. Acrolein & Aci 4. Phthalates (61 ^624/8260) lie (624)
5. Organochlorine Pesticides (608/8080) 5. Microscopic 6. Pesticides (507) X '6. PCB’s (Arochlors) (608/8080) 6. Macroscopic 7. Pesticides/PCB^reen (508) • 7. Herbicides (SM-18/6640; 8151) 7, API 8. Other:
Refrigerated^, U4 .. ‘ V 8. PCB as Decacniorobiphenyl (508A) 9. Herbicides (515) 10. Pesticides (525) 8. .Other Pesticides (SM-18/6630) 9. Petroleum Hydrocarbon Scan (310-13) 10. Glycols in Water 11. Acid Extractables (625/8270) yes no : 11. Carbamate Pesticides (531) 12. Glyphosate (547) 12. Ba#i^Neutral Extractables (625/8270) .yes_------ 3^0 I 13. Diquat (549) .,, (ISyGC/MS Unknown Scan Chlonnated?: 1 14. Chlorination Disinfection Byproducts (551) Y4. Purgeable Halocarbons (DEF) Free Chlorine Res;, _______ img/L? 15^ Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) IS.'Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: 17. PetroT§&m/Hydrocarbon Scan ’(^10-13) 17. PCB’s (Arochlors) (DEF)
L,PH---- INORGANIC ANALYSES REQUeBtED^ Lab#:. (circle tests) ■ • Y'^./gidity ' 0 1. Color 2. Turbidity 3. pH ’ \21. Wkalinity. as CaCOs Bromide ^^luminum 40. Antimony ? • i41. Arsenic (S 59. Potassium /66^Belenium ^^L^iiver 4. Conductivity 23. Biomate/Chlorate/Chiorite 42. Barium eSTsodium 5. Corrosivity (temp: “C) "2^. Chloride 43. feeryllium 63?Thaliium 6. BOD (5 day) Cyanide 44. Boron e^Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 6^^inc 8. Carbonaceous BOO (5 day) 27. Hardness, Total as CaCOa 46. Calcium, as Ca&Os 9. Chemical Oxygen Demand 28. Nitrogen. Ammonia as N 47. Cal9um, Ca*’ 66. Metals/CN ' 10. Dissolved Oxygen 29. Nitrogen. Nitrate as N 48r^hromium, Total 67. Volatiles 11. Total Organic Carbon 30. Nitrogen. Nitrite as N i'OrChromium, Hexavalent 68. Semi-volatiles 12. Total Organic Halides 31. Nitrogen. Total Kjeldahl as N SOrCobalt 69. Pesticides/PCB’s 13. Solids. Percent (%) 32. Oil and Grease Sl.^per 70. Disk Deliverables /52. fron 14. Solids. Settleable 33. Phenol (53. ijead IStE 15. Solids. Suspended 34. Phosphorus. Total as P 71. TCLP-Metals 16. Solids. Total 35. Phosphorus. Ortho as P C^^agnesium 72. TCLP-Pesticides 17. Solids. Total Dissolved 36. Sulfates SSTWanganese 73. TCLP-Herbicides 1A Solids, T^l Volatile 37. Surfactants lS6. Mercury 74. TCLP-Volatiles 'l 9.'.Other; IS ri__________ 38. liV2S4 (57. Molybdenum 75. TCLP-BNA’s Vse.Alickel
NYC-WTC_000070790
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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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