Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
NYC-WTC_000070870–000070878Folder label: “28750”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document '.. " ■ -- ■ • %••• 7
111 ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM ‘ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 UlMtchMtar County (914) 593-5575 NYS-ELAP No. 10108 Time/Date Set:_________________________ Form A-70 (rev. 1/96) Sample Type (circle one): Bottlef#’sr I £< f ljPotable 3. Non-Potable Treated 2. Non-Potable 4. Other Chain of Custody? .yes no Time/Date Collected:. fh Commenta: Collected Bv: Agency Code; PWS #:_________ Source ID:, Type Descriptor:. Collected From; Bill to: * Location’s/lndividual’s Name. Name/Company Street___________________ Street__________ City/SVZip_______________ City/St/Zip Identification of Source Phone#:.. Fax #: Collection Point. -3 I CA. CH, Bl? Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#;______________________ Lab #;_____ C (circle tesls) (circlelesl^ ' j } 1. Heterotrophic Plate I.^Trihalomethanes (524) ' 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) ^^’^^Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 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. PCB's (Arochlors) (608/8080) ’6',.'Macroscopic ^LPesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) a ’ PCB as* Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) .8. Other:___________________ 9 Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) ^^rF*esticides (525) . 10. Glycols in Water Refrigerated? yes____ _no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) lA Base Neutral Extractables (625/8270) Chlorinated?: yes no 13. Diquat (549) t Qlt GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) Free Chlorine Res:. mg/L ■ 15:jHaloacetic Acids (552) “ ' 15. Purgeable Aromatics (DEF) 16, Other Pesticides (SM-18/6630) _ . 16. Pesticides (DEF) Total Chlorine Res: mg/L ■ j 7;. Petroleum/Hydrocarbon Scan (310,-13) ' ' 17. PCB’s (Arochlors) (DEF)
IRin’ oiwn INORGANIC ANALYSES REQUESTED:- Lab#; . (circle tests) ■ ■' 1. Color 20. Acidity 39. Muminum 5a Potassium 2. Turbidity 21. Alkalinity, as CaCOs 40. \ntimony /oO^elenium 3. pH 22. Bromide 41. Vsenic \£)/Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Jarium 62. Sodium 5. Corrosivity (temp: .’C) 24. Chloride X^S/Beryllium (^?Thallium 6. BOD (5 day) 25. Cyanide Boron 64. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 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*^ 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 Chromium, Hexavalent 68. Semi-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N Cobalt 69. Pesticides/PCB’s 13. Solids. Percent (%) 32. Oil and Grease Copper 70. Disk Deliverables 14. Solids. Settleable 33. Phenol Iron I£LE 15. Solids. Suspended 34. Phosphorus. Total as P —Lead 71. TCLP-Metals 16. Solids. Total 35. Phosphorus. Ortho as P Magnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 551 Manganese 73. TCLP-Herbicides 1^. Solids, Toul Volatile 37. Surfactants 561 Mercury 74. TCLP-Volatiles Other: S? 38. I.IV254 571 Molybdenum 75. TCLP-BNA’s 5a Nickel
NYC-WTC_000070872
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NYC-WTC_000070981
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including contact information.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.998
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071530
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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072362
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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070942
Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071736
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 0.996
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 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070569
Chain of custody documentation 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_000070207
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_000071429
Document tracking the custody and handling of environmental samples submitted to Westchester County Department of Labs.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071265
Document recording 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_000072702
Fragmented chain of custody record for samples submitted to 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_000027437
Document tracking the custody and handling of environmental samples submitted to the laboratory.
11 shared non-person entities · 1 shared topics · similarity 0.995
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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