Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
NYC-WTC_000071817–000071824Folder label: “26315”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM
II , A { ster WESTCHESTER COUNTY LABORATORIES AND RESEARCH iv.com ■
2 Dana Road, Valhalla, New York 10595 (914)593-5575 ' NYS-ELAP No. 10108 le/Date Set: Form A-70 (rev. 1/96)
S^mplejype (circle one); I 1. Potable y 3. Non Potable Treated Bottle #'s: "STNOirPot^le 4. Other^ Chain of Custody?___ yes no Time/Date Collected: Comments: Collected By: Aoencv Code: PWS #:______ Source ID: Type Descriptor: Collected From:-’^ ' Bill to: Location’s/lndividual’s Name Name/Cdhnpany Street__________ ;______ Street________ City/St/Zip______________ City/St/Zip CVa/ Identification of Source Phone#: Fax#: Collection Point s 7 'W CA.CH, Bl? Check#: Amounts.
BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#:______________________ Lab#;__________ ______________ (circle tests) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) Z5\ Volatile Halocarbons (524) '2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) (,_3j Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, 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) ^macroscopic Pesticides/PCB screen (508) 7. Methoprene (616) K PCB. as Decachlorobiphenyl (508A) 8. Herbicides (EPAI 978/8151) 8. Other:_______________L__ 9* Herbicides (515) 9. Pesticides (SMI 8/6630) (^Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes no TL Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) 13. Base Neutral Extractables (625/8270) Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) (J^GC/MS Semivolatile Unknown Scan “Total Chlorine Res: mg/L ■ J5. Halohcetic Acids (552) 15. Purgeable Halocarbons (DEF) ’16. Pesticides (SMI8/6630) 16. Purgeable Aromatics (DEF) —r__ L ; ^17. Petroieum/Hydrocarbon Scan (310-13)' •’ 17. Pesticides/PCB's (DEF) 18. Others 18. Other: . ____________________
INORGANIC ANALYSIS REQUESTED - Lab#: , (circle tests) 1. Color , . „ .■ 20. Acidity 2^ 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:. 2C) .. 24. Chloride 43. Beryllium ■ 63. Thallium 6. BOD (5 day) 1,25. Cyanide 44. Boron 64. Vanadium 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. Calcium, Ca*^ 66. Metals/CN , .IQ^Olssolved Oxygen 29. Nitrogen, Nitrate as N 48.Chromium, Total 67. Volatiles Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-violatiles J2."%tal Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB’s -J&„Sblids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables ^A Solids, Settleable 33. Phenol 52. Iron TCLP ^blids. 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. UV254 57 Molybdenum 75.TCLP-BNA’s 58. Nickel
NYC-WTC_000071819
OCR can misread numbers and units. Confirm readings against the page image before using them.
Ranked by indexed similarity. Reasons describe shared subjects and filing context; check the source records.
NYC-WTC_000071567
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 0.998
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 0.998
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 0.998
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 0.997
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_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_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_000072080
Document recording the transfer and receipt of environmental samples at the Westchester County laboratory.
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 0.997
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_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_000062760
Sample submission form for Environmental Services Laboratories and Research, dated September 2001.
11 shared non-person entities · 1 shared topics · similarity 0.997
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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Form tracking samples submitted to the Westchester County Department of Labs and Research.
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Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
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