Form tracking samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000071530–000071537Folder label: “27389”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
III UlanchMter County ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla. New York 10595 (914) 593-5575 as NYS-ELAP No. 10108 Form A-70 (rev. 1/96) Time/Date Set:__________ Sample Type (circle one): i. Potable 3. Non-Potable Treated Bottle #%:~ J 7-/? - "( 7 2. Non-Potable 4. Other______________ Chain of Custody?yes no Time/Date Collected:. H - I Comments; Collected By: ■' ■ vA ' ' I L pi- 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_________ L__,_________ Phone#; Fax #: Collection Point, ./ —- ^"| CA, CH, Bl?. Check#; Amounts.
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES
Lab#:_________________________ Lab #;____________ :__________________ (circle lesls) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) ^S>^Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 2. Coliform P/A (public supplies) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractabies (504) 5. Organochlorine Pesticides (608/8080) f 5. Microscopic _. 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8080) 6. Macroscopic Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; ' '• 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) 8. Other:______________________ Herbicides (515) 9. Petroleum Hydrocarbon.Scan (310-13) < Pesticides (525) 10. Glycols in Water Refrigerated? .yes. .no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) ,12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) yes .no . 13. Diquat (549) (T^GC/MS Unknown Scan Chlorinated?; 14. Chlorination Disinfection Byproducts (551) IT Purgeable Halocarbons (DEF) ..'J 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)
pH A
INORGANIC ANALYSES REQUESTED ^l^ab#; (circle tests) . ' -1. Color 20; Acidity 39. Aluminum 59. Potassium^ 2. Turbidity 21 ..Alkalinity, as CaCOa 40. Antimony 60. Selenium -1 3. 2i B/omide 41. Arsenic 61. Silver ’ ' pH 4. Conductivity '23; Br£;rriate/Chlorate/Chlorite 42. Barium 62. Sodium I 5. Corrosivity (temp; .“C) 24. Cfi.ibride 43. Beryllium 63. Thallium 6. BOD (5 day) 25. cyanide 44. Boron 64. Vanadiunr 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. Calciurh~Ca*’ 66. Metals/CN ' 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48. Chromiurn, 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. IIV254 57. Molybdenum 75. TCLP-BNA's JlNickel
NYC-WTC_000071531
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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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070870
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 0.997
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_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_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 0.997
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 0.996
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_000027189
Document tracking the custody and handling of environmental samples submitted to the laboratory.
11 shared non-person entities · 1 shared topics · similarity 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000026945
Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.
11 shared non-person entities · 1 shared topics · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027641
Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027271
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 ↗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 0.996
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