Form documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000071089–000071096Folder label: “26827”
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 X'. di s NYS-ELAP No. 10108 bn Form A-70 (rev. 1/96) “ late Set; 27 Sample Type (circle one): - ) I. Potable 3. Non-Potable Treated Bottle #’s:______ L 2. Non-Potable 4. Other. Chain of Custody? .y®s no Time/Date Collected:______ [ ■ ■ I Comments: Collected By;_____________ .Agency Code; PWS #:_________ .Source ID:. Type Descriptor:. Collected From: Bill to. Location’s/lndividuars Name. V '< Name/Company Street__________________ Street__________ City/SVZip______________ City/St/Zip Identification of Source Phone#:_ Fax #; Collection Point I CA. CH. Bl? Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPQTABLE/SOLID ANALYSES Lab#:_________ ' ■ ' ■ Lab#: (circle tests) (circle tests) 1. Heterotrophic Plate V Trihalomethanes (524) . 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others). '‘zX 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 5 Pesticides (507) ' , 6. PCB's (Arochlors) (608/8080) 6. Macroscopic Pesticides/PCB screen (508) 7, Herbicides (SM-18/6640; 8151) 8. PCB as Decachlorobiphenyl (508A) 8.. .Other Pesticides (SM-18/6630) iOFber:__ -______ 9 Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) @Pesticides (525) 10. Glycols in Water Refrigerated? .yes. .no TL Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) I^Base Neutral Extractables (625/8270) Chlorinated’’: .yes. no 13. Diquat (549) ^ajGC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14 Purgeable Halocarbons (DEF) Free Chlorine Res;. mg/L 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB's (Arochlors) (DEF)
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INORGANIC ANALYSES REQUESTED - Lab#;. (circle tests) 1. Color 20. Acidity 39. Aluminum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony 60. Selenium 3. pH 22. Bromide 41. Arsenic 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium 5. Corrosivity (temp: .“C) 24. Chloride 43. Beryllium 63. Thallium 6. BOD (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 CaCOa 46. Calcium, as CaCOa 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 49. Chromium, Hexavalent 68. Semi-volatiles 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt ' , 69. Pesticides/PCB's
Ml iohds, Percent (%) iolids, Settleable 15. Solids. Suspended 32. Oil and Grease 33. Phenol 34. Phosphorus. Total as P 51. Copper 52. Iron 53. Lead 70. Disk Deliverables ISLE 71. TCLP-Metals 16. Solids. Total 35. Phosphorus, Ortho as P 54. Magnesium ' 72. TCLP-Pesticides 17. Solids, Total Dissolved 36. Sulfates 55. Manganese 73. TCLP-Herbicides 18. Solids. Total Volatile 37. Surfactants 56. Mercury 74. TCLP-Volatiles 19. Other;_____________ 38.1.IV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel
NYC-WTcZ0b007i0M
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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 0.997
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 0.997
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 0.997
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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072080
Document recording the transfer and receipt of environmental samples at the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996
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 0.996
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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071655
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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071817
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_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 0.996
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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Record tracking the chain of custody for environmental samples submitted to the Westchester County laboratory.
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