Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000071265–000071272Folder label: “27007”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
HL UteslehMterCountv WESTCHESTER COUNTY LABORATORIES AND RESEARCH
Time/Date Set:___________ _ _______________________ _ 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 Form A-70 (rev. 1/96) Sample Type (circle one): Li, Potabia^ 3. Non-Potable Treated Bottle #'s:'^^3, 2. Non-Potable 4. Other_____________________________ Chain of Custody? .yos no Time/Date Collected: AA V, I \ Comments: Collected By: Aaencv Code: PWS #:_________ .Source ID:. .Type Descriptor:. Collected From: Bill to: Location’s/lndividual’s Name Name/Company Street_______ _ _______________________ Street______ _ City/SVZip_ ______________ :____________ Citv/St/Zio Identification of Source Phone#:________ Fax#: Collection Point ■ fexs I CA, CH Bl? Check#: Amounts.
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:_______ L__________ Lab #:______________________ __ (circle tests) (circle tests)
J) 1. Heterotrophic Plate 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 Pesticides (507) '6. PCB's (Arochlors) (608/8080) 6. Macroscopic 7. API Ji Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyl (508A) 7. Herbicides (SM-18/6640; 8151) 8. Other Pesticides (SM-18/6630) 8. Other:______ _ ___________ 9v Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) ■ (jp. Pesticides (525) 10. Glycbls in Water Refrigerated? yes. no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) / * 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chlorinated?: .yes. no 13. Diquat (549) (^GC/MS Unknown Scan i 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)
______
INORGANIC ANALYSES REQUESTED - Lab#: (circle tests) 2Z2Z7; z
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 j 6. BOD (5 day) 25. Cyanide 44. Boron 64. Vanadiurn 7. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc y 8. Carbonaceous BOD (5 day) 27. Hardness. Total as CaCOa 46. Calcium, as CaCOa CLP 1 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 13. Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables 14. Solids, Settleable 33. Phenol 52. Iron ISLE 15. Solids. Suspended 34. Phosphorus. Total as P 53. Lead 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. I. IV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel
NYC-WTC_000071266
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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 0.998
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_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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071184
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 0.997
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_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_000071089
Form 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_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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071045
Form 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_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 0.996
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_000027356
Document tracking the custody and handling of environmental samples submitted to the laboratory.
11 shared non-person entities · 1 shared topics · similarity 0.996
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Chain of custody documentation for samples submitted to the Westchester County Department of Labs and Research.
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