Record documenting the transfer and chain of custody for samples sent to the Westchester County Department of Labs.
NYC-WTC_000071466–000071468Folder label: “27232”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
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III UtoctchMtM-County
Time/Date Set:_________ ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914)593-5575 -.>4 IS s NYS-ELA^sNo. 10108-
Form A-70 (rev. 1/96) Sample Type (circle one): Bottle fl’s:~ 1. ' Potable 3. Non-Potable Treated 2. Non-Potable 4. Other_____________ Chain of Custody? .yes no ■J ! Time/Date Collected:, _Z_ Comments: Collected Bv: / zY i Agency Code: PWS #:____________ jSource ID:. Type Descriptor:. Collected From: Bill to: Location’s/lndividual's Name C;. ^‘t Name/Company Street____________________ Street ___________ City/St/Zip_________________ City/St/Zip__________ Identification of Source Phone#:_ Fax #: Collection Point, O O I CA, CH, Bl? Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLip ANALYSES Lab#:______________ " Lab #:_______ (circle tests) (circle tests) ~ 1. Heterotrophic Plate Isz Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) V Count (hemodialysis & all others) .Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) ' P?. 2. Coliform P/A (public supplies) Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 5^? 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) ’6. PCB’s (Arochlors)'(608/8080) ' ' 5. Microscopic 6_ Pesticides (507) 6. Macroscopic t^Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) r 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-i 8/6630) I 8. Other:___________________ 9^erbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) Q^esticides (525) 10. Glycols in Water V
Refrigerated? .yes. .no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12^ase Neutral Extractables (625/8270) Chlorinated?: .yes. no 13. Diquat (549) tS^C/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) tJ. 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) 1. Color 20. Acidity 39. Aluminum 59. Potassium - / 2. Turbidity 21^. Alkalinity, as CaCOa 40. Antimony 60. Selenium i 3. pH 22. Bromide 41. Arsenic 61. Silver ■ 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium i 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 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 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_000071468
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NYC-WTC_000072249
Form documenting the transfer and logging of environmental samples at the Westchester County laboratory.
9 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071348
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072313
Form documenting the transfer and receipt of samples at the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070896
Record detailing the chain of custody including specific sampling and analysis instructions for the Westchester County laboratory.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072684
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071330
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 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071974
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 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070907
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including sampling contact information.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071956
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 0.992
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
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