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 '•^■72 VW,?' V "-I?: ’ •r , ■
I K HI ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 UMttehertertoofty NYS-ELAP No. 10108 (914) 593-5575 Time/Date Set: Form A-70 (rev. 1/96) Sample Type (circle one):- Potable 3. Non-Potable Treated Bottle #’s: 2. Non-Potable 4. Other Chain of Custody? Time/Date Collected:, Comments: Collected By: ■ Agency Code: PWS #:________ Source ID: Type Descriptor:. Collected From: Bill to; Location's/lndividual’s Name. Name/Company Street_____ ___________ Street______ City/SVZip______________ City/SVZip Identification of Source Phone#: ,Fax #: I CA. CH. Bl?- Check#: Amounts. Collection Point
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:_____________ Lab #:_______________________ (drcle tests) (circle tests) 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) Total Trihalomethane Potential (510). 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) . 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) 5. Microscopic ’ 6. Pesticides (507) 6. PCB's (Arochlors) (608/8080) 6. Macroscopid : ' . Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) , 7. API ■ ■ ■ -;'5----- 8. PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) 8. Other: ■ ~ 9^ 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) ia Base Neutral Extractables (625/8270) > Chforinated?; ves no 13. Diquat (549) (J^GC/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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cat INORGANIC ANALYSES REQUESTED - Lab#:. -J (circle tests) 1.; Color 20. Acidity V. 39! AlurpinuTi? 59. Potassium I 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 5. Corrosivity (temp: .°C) 24. Chloride 43. Beryllium 63. Thallium ■ 6. BOD (5 day) 25. Cyanide 44. Boron 64. Vanadium 7. Solubl'd BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc__________ 8i Carbonaceous BOD (5 day) 27. Hardness, Total as CaCOa 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 TCkP •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 <9. Other:_________________ 38.1IV254 57. Molybdenum 75. TCLP-BNA’s 58. Nickel
* NYC-WTC_000071535
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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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