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 Utertchestof County
Time/Date Set:_________ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108
Sample Type (circle one): 1. Potable 3. Non-Potable Treated 2. Non-Potable 4. Other 1 f er-K^ Chain of Custody?yes no Time/Date Collected:. Comments:___________________ ____________________ ■' Collected By: Agency Code: PWS #:Source IO: 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#: Collection Point I CA,CH Bl? Check#: Amounts^ <• __
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPO^BL^ilOm^LYSES Z_T2_Z Lab#:______________________ Lab#: ' ' - (circle tests) (drcle rests) ' 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbon® ^60: Count (hemodialysis & all others) ’*2)11 Volatile Halocarbons (524) 2. Purgeable Aromafics.({ 2. Coliform P/A (public supplies) Volatile Aromatics (524) 3. Acrolein & Acrylonitrile’ 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) ■ '.4"
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 Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 7. API 8. PCB as Decachlorobiphenyi (508A) 8. Other Pesticides (SM-18/6630) 8. Other:_________________ _ 9^,, Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) C^Pesticides (525) 10. Glycols in Water , •" Refrigerated? .yes_____ no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) Base Neutral Extractables (625/8270) Chlorinated?: .yes no ,13. Diquat (549) 4a^C/MS Unknown Scan ' J 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)
12:.Z-ZZZZZZZZZZZ_:_ INORGANIC ANALYSES REQUESTED ^ab#: (circle tests) 1. Color YV J-. A^iiy n 39. Aluminum 'Ji
59. Potassium 7
2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony 60. Selenium ’ 3. pH 2^. Bromide 41. Arsenic 61. Silver i 4. Conductivity 23. BrOmate/Chlorate/Chlorite 42. Barium 62. Sodium : 5. Corrosivity (temp: .’C) 24. Chloride 43. Beryllium 63. Thallium i 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 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. Coball^ 69. Pesticides/PCB's 13. Solids, Percent (%) 32. Oil and Grease 51. Copp^ 70. Disk Deliverables 14. Solids, Settleable 33. Phenol 52. Iron ICLP 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. IIV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel
- - —... . . NYC-WTC_000071270
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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
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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