NYC Law Department release
Independent mirror · updated as the City releases more · v1.2.6
← Document results/DEP Box 61/26251
Document / 4 pages

Chain of custody form, Westchester County Labs

Machine-extracted title · confidence 90%

Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.

NYC-WTC_000071794–000071797

Folder label: “26251

Page image
Scanned page image, NYC-WTC_000071797
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Westchester: gov.com ENVIRONMENTAL SERVICES SÄMPLE SUBMISSION FÖRM WESTCHESTER COUNTY LABORATORIES AND RESEARCH; 2 Dana Road, Valhalla, New York 10595- (914) 593-5575- e/Date Set: Sample Type (circle one): C. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 10:25-01 0945 Collected By: D. 5 COTT Agency Code: Collected From: Location's/Individual's Name NYC - DEP Street_ 19 WEST LAKE DRIVE City/St/Zip VALHALLA NY 10595 Identification of Source Collection Point Cra Got NYS-ELAP,No: 10108 Form A-70 (rev.1/96): Q Z10z @2103;QFB 21B Bottle #s: _ C.4845: P2009, P2013 PFB 2039 Chain of Custody? - yes'_no <8485, k8487 comments: 58484 PWS #: Source ID: Type Descriptor: Bill to: Name/Company Street City/St/Zip Phone#: Fax#: CA,CH, BI? Check#: _ Amounts BACTERIOLOGICAL ANALYSIŞ Lab#: .(circle tests) 1: Heterotrophic:Plate Count (hemodialysis & all others) 2. Colitorm P/A, (public supplies) 3. Coliform MPN (priv well, raw, stp) 4: Fecal Coliform] (all samples). 5: Microscopic acroscopic: 8! Other: Refrigerated? Chlorinated:? Free Chiorine Res: Total Chlorine Res: _ yes = _no yeş •nO _mg/L mg/L pH: ORGANIÇ POTABLE ANALYSIS Lab# a (circle tests) 1.- Trihalomethanes (524) 2: Volatile Halocarbons.: (524) 3/ Volatile Aromatics. (524), 4. Total Trihalomethane Potential: (510) • 5.; Microextractables (504)* 6. Pesticides: (507). ,Pesticides/PCB screen (508) 8.LPCB aś Decachlörobipheny! (508A); 9. Herbicides (515),. 10,- Pesticides, (5,25) 1f. Carbamate Pesticides (531) 12. Glyphosate (547) 13. Diquat (549) 14. Chlorination Disinfection Byproducts (551) 15. Haloacetic Acids (552)• 16: Pesticides (SM18/6630) 17. Petroleum/Hydrocarbon Scan (310-13)* 18. Other: ORGANIC NONPOTABLE/SOLID ANALYSIS 1. Purgeable Halocarbons (624/8260) 2. Purgeable Aromatics (624/8260) 3..Acrolein & Acrylonitrile (624). . : 41Phthalatés (625/8270) waar 5. Organochlorine Pesticides: (608/8081) 3, 6. PCB's (Arochlors). (608/8081) 7. Méthoprene (616) : 8. Herbicides (EPA1978/8151) 9. Pesticides: (SM18/6630)* 10: Petroleum Hydrocarbon Scan (310-13)2 11. Glycols 12. Acid Extractables; (625/8270) : 13. Base Neutral Extractables: (625/8270) 14 GC/MS"Semivolatile Unknown Scan' 15 Purgeable Halocarbons *(DEF) 16. Purgeable Aromatics (DEF) 17. Pesticides/PCB's; (DEF) 70 §atate. 18.Other: INORGANIC ANALYSIS REQUESTED- Lab# (circle tests): 1. Color 20. Acidity →21. Alkalinity, as CaCO3. 22. Bromide 4. .Çonductivity, 23. Bromate/Chlorate/Chlorite 6. Corrosivityr(temp: °C) 24. Chloride BQD (5 day), 25: Cyanide. Soluble BOD (5 day): 26. Fluoride 8. Càrbonaceous BOD_ (5 day), 27: Hardness": Total as CaCOs) 9.% Chemical Oxygen Demand, 28. Nitrogen; Ammonia asN ‹10. Dissolved Oxygen 29. Nitrogen, Nitrate as N' 1gTotãi Organic Cârbon "301Nitrogen;, Nitrite as N; 12. Total Organic Halides 31: Nitrögen;Total Kjeldahl as N: c: Solids, Percent? (%): 32 Oil'an Grease Solids, Settleableł 33?Phenol Solids, Suspended 34.Phosphorus Total as P' 16. Solids,Totai) 35 Phosphorus: Orthoas P: 17: Solids, Total Dissolved. 36: Sulfates 18: Solids. Totái Volatilè: 37 Surtactants other: Sni 38UV254} 153 39. Aluminum 40. Anțimony 41. Arsenic. 42. Barium 43.Beryllium 44. Boron 45. Cadmium 46. Calcium, as СaCOз 47. Calcium, Cat2.. 48:Chromium, Total! 49: Chromium, Hexavälent: 30.Cobalt! 51!Copper Đron 3:Leãd) )Magnesium: Manganese: 56! Mercury 57 Moiybdenum: 58 Nickel] mekes: 9. Potaşsium /60. Selenium 61. Silver 62: Sodium 53:Thallium. tyanadium 65 Zinc CLP 66. Metals/CN 67 Volatiles ¡68: Semi-violatiles 69. Pesticides/PCB's '70.Disk Deliverables TCLP 7i TCLP-Metäls. 72 TCLP-Pesticides, 73 TCLP-Herbicides) }74ÎCLR:Volàtileşž {75 TCLP BNA'S; NYC-WTC_000071797

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000071797Source: NYC Law Department, mirrored locally

Related records

Browse subjects →

Ranked by indexed similarity. Reasons describe shared subjects and filing context; check the source records.

Same-box records

Filed elsewhere

More like this page

Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.

Page similarity is temporarily unavailable or this page has no indexed vector.

Others also read

Readers open these alongside this record — through an Ask answer, the same folder, or indexed similarity. Not a claim they are about the same event.

NYC-WTC_000071383 · Box DEP Box 61

Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

Similar indexed content

NYC-WTC_000071406 · Box DEP Box 61

Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

Similar indexed content

Compare copies and versions →