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
ini UlMlchefter County
Time/Date Set: ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 8 NYS-ELAP No. 10108 Form A-70 (rev. 1/96) Sample Type (circle one): jP Potable 3. Non-Potable Treated Bottle #’s: ttsx. . « t ---------- * ■ 2.. Non-Potable 4. Other_____________ Ct Chain of Custody? .yes no Time/Date Collected:. \ >x . X \ - - ' * < J Comments: Collected By: h 3 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, K C* I CA, CH. Bl? Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:.____________________ _ Lab #: "1 i (drcleiests) , (circle lesU) ? — jT Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis 4 alll others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2.-,Coliform P/A (public supplies) Volatile Aromatics 7?24) 3. Acrolein 4 Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 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) '61 PCB's (Arochlors) (608/8080) 6. Macroscopic ■ ' ' -7. Pesticides/PCB screen (508) 7.' Herbicides (SM-18/6640; 8151) 7. API --77----- _8.'^ PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) 8. C^her:•;v herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) io. Pesticides (525) 10. Glycols in Water . Ref nge rated? yes'-" ho' .ll. Carb^iViate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12..^ase Neutral Extractables (625/8270) f ^^3.'gC/MS Unknown Scan chlorinated?: .yes. “no ; J 3. Diquat (549) “ .'' *^5 14. Chlorination Disinfection Byproducts (551) 14. Purgeable Halocarbons (DEF) ■ X Free Chlorine Res:___ •■ rnq/L ■s ' i.S.' Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) •' * * 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) toteUChiorine Res: m^L *’ (310-13) 17. PCB's (Arochlors) {6eF) ■ V t*' ■ 1^ ■' '_________________ __ ______________________________________________
INORGANIC ANALYSESREQUEsWo'^^ab#. (circle tests) '1. Color 2. Turbidity 3. pH w - ..-2T_ Alkalinity, as CaCOa jM'Btwide. "■ .''^.Aluminum 40 Antimony 41 Arsenic 59. Potassium /§(h Selenium Silver 4. Conductivity ’ .23^ Bromate/Chlorate/Chlorite 42. Barium • 62. Sodium 5. Corrosivity (temp: ’C) ?2^rqi;(1oride \43, Beryllium Thallium 6. BOD (5 day) ', 2^? Cyan ide ,^11^44. Boron 6^. Vanadium 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium / 6S>Zinc 8. Carbonaceous BOD (5 day) ’ 27. Hardness, Total as CaCOa 46. Calcium, as CaCOa XtP’ 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 4^ Chromium, Hexavalent 68. Semi-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N , 50' "■'Cobalt 69. Pesticides/PCB's 13. Solids, Percent (%) 32. Oil and Grease . , 51. Copper 70. Disk Deliverables 14. Solids. Settleable 33. Phenol Iron TCLP 15. Solids. Suspended 34. Phosphorus. Total as P \, 53., 53yLead 71. TCLP-Metals 16. Solids, Total 35. Phosphorus, Ortho as P ^4. Magnesium 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates S5?iManganese 73. TCLP-Herbicides Solids, Total Volatile 37. Surfactants I 56. Mercury 74. TCLP-Volatiles Other: 38. IIV254 ) 57. Molybdenum 75. TCLP-BNA's \58.Nickel
■st NYC-WTC_000070877
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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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