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
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
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Time/Date Set:______________________ WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 Form A-70 (rev. 1/96) Sample Type (circle one): 7 (k ix _ r /otable 3. Non-Potable Treated Bottle "2? Non-Potable 4. Other _____ Chain of Custody? yes no 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/St/Zip______ Identification of Sdurco__~____________________ Phone#: _Fax #:, Collection Point ________ I CA, CH, Bl?_ Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#: ■ ' : , ' Lab #:_______ '____________________ (circle lesls> , ' (drcle lests) 1. Heterotrophic Plate Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) - Count (hemodialysis & ail 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) ’6. 5. Microscopic. ■< -7 , 6. Pesticides (507) PCB's (Arochlors) (608/8080) 6. Macroscopic ■ Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 7. API . 8. PCB as Decachlorobiphenyl (508A) 8, Other Pesticides (SM-18/6630) a.pther: . . - " *— 9_ Herbicides (515) 9, Petroleum Hydrocarbon Scan (310-13) tf^Pesticides (525) 10. Glycols in Water Refrigerated?--■ ," ves ■ no Tk Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chlorinated?::yes. fio . 13. Diquat (549) GO^S Unknown Scan 14. Chlorination Disinfection Byproducts (551) 14. Pu^Sahle Halocarbons (DEF) Free Chlorine Res: ' mq/L~ . 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) Total Chlorine Res: ■ ■ ■ mq/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF)
' , I - J 7 itr nf-fO: t f f T s INORGANIC ANALYSES REQUESTED - Lab#:. I (circle tests) 1. Color ■ 20. Acidity 39. Aluminum 59. Potassium i 2.. Turbidity 21. Alkalinity, as CaCOa 40. Antimony 60. Selenium 3. pH • / : 22. Bromide 41. Arsenic 61. Silver 4. Conductivity 23. Brorjnate/Chlorate/Chlorite 42. Barium 62. Sodium 5. Corrosivity (temp: ’C) 24. Chlorfde 43. Beryllium 63. Thallium 6. BOD (5 day) 25^yanide 44. Boron ” 64. Vanadium 7. Soluble BOD (5 day) ' 7 26.. Fluot’ide 45. Cadmium 65. Zinc 8. Carbonaceous BOD (5 day). 27. Hardness, Total as CaCOs 46. Calcium, as CaCOa 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. F^sphorus, 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. UV254 57. Molybdenum 75. TCLP-BNA's 58. Nickel
NYC-WTC_000071537
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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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