Form tracking samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000071567–000071574Folder label: “26005”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM (v.com WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914)593-5575 ■ f NYS-ELAP No. 10108 .e/Date Set: ' (J (rev. 1/96)
,SampleType (circle one); Bottle #’s: Q- A^M L- , _____________ J^Potable 3. Non Potable Treated 2. Non Potable 4. Other______ iV , Chain of Custody? yes no Tlme/Date Collected: Comments: Collected By:______ ^1 Agency Code: PWS #:________ Source ID: Type Descriptor: Collected From: 01/1 Bill to: Location’s/lndividual’s Name 7*' _____ Name/Company _ Street_____________ Street_________ City/St/Zip_________ City/St/Zip Identification of Source Phone#:_______ Fax#: Collection Point I CA,CH, Bl? Check#; Amounts.
BACTERIOLOGICAL ANALYSIS Lab#:_______________________ ORGANIC POTABLE ANALYSIS Lab#: / - .Xc> ORGANIC NONPOTABLE/SOLID ANALYSIS
(circle tests) (circle tests) 1. Heterotrophic Plate X Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) 2. Volatile Halocarbons (524) Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) .3.'' Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) '* • 3. Coliform MPN (privwell, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270) ;; 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) 5. Microscopic 6. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) e^acroscopic ‘ 7. Pesticides/PCB screen (508) 7. Methoprene (616) 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPA1978/8151) ^^ther:____________________ .9. Herbicides (515) 9. Pesticides (SMI 8/6630) . (to.’’ Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) 1 Refrigerated?yes no 11. Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes i no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) U. Base Neutral Extractables (625/8270) Free Chlorine Res:. __ mg/L 'v. • ’• 14. Chlorination Disinfection Byproducts (551) (l^. GC/MS Semivolatile Unknown Scan Total Chlorine Res; T mg/L 15. Haloacetic Acids (552) 15. Purgeable Halocarbons (DEF) 16. Pesticides (SM18/6630) 16. Purgeable Aromatics (DEF) pH ____ 17. Petroleum/Hydrocarbon Scan (310-13) -17. Pesticides/PO6’s (DEF) 18. Other: , *" ■18; Other:________________________
INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) \ 1. Color 20. Acidity 39. Aluminum ’ 59. Potassium ■ 2. Turbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium ' 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. Soluble BOD (5 day) 26. Fluoride 45. Cadmium 65. Zinc 8. Carbonaceous BQD (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-violatiles 12.^ Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB’s 32. Oil an Grease 51. Copper > 13. Solids, Percent (%) 70. Disk Deliverables Solids, Settleable 33. Phenol 52. Iron Solids, Suspended 34. Phosphorus Total as P 53.Lead ICLE 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. UV254 57 Molybdenum 75. TCLP-BNA's / 58. Nickel
NYC-WTC_000071571
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Ranked by indexed similarity. Reasons describe shared subjects and filing context; check the source records.
NYC-WTC_000071817
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 0.998
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072603
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 0.998
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_000072522
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_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_000071898
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_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_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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072443
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_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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027723
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 ↗Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.
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