Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
NYC-WTC_000071898–000071905Folder label: “26386”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM jester ' Vvestchester county laboratories and research pv.com «■ 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 • Date Set: Form A-70 (rev. 1/96) V- ■, f,. - T . Sample Type (circle one): ? - ■J. (T^otable 3. Non Potable Treated Bottle #’s: fc. \ S' - ' \ 2. Non Potable 4. Other Chain of Custody?___ yes no Time/Date Collected: \L» • Ik- o \ Comments: Collected By: k. AA 7 Agency Code: PWS #:______ Source ID: Type Descriptor: Collected From: Bill to: Location’s/lndividual’s Name Name/Company Street _______ Street_______ _ City/St/Zip______________ City/St/Zip Identification of Source» Phone#; Fax#: Collection Point . 'XIaV s~ C I CA,CH. Bl? Check#: Amounts.
BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS .7 ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#: Lab#: (circle tests) ' s , , (circle tests) 1. Heterotrophic Plate 1. Trihaiomethanes (524), 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) Volatile Halocarbons (524) 2. Purgeable Aro'mati&' (624/8260) 2. Coliform P/A (public supplies) (3/ Volatile Aromatics, (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomefhane Potential (510) 4. Phthalates (625/8270) 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8081) 5. Microscopic Pesticides (507) 6. PCB’s (Arochlors)* (608/8081) • roscopic ' 0 Pesticides/PCB screen (508) 7. Methoprene (616) 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPAI 978/8151) 8. Other:________________ ' &. Herbicides (515) 9. Pesticides (SMI 8/6^SEI Pesticides (525) 10. Petroleum Hydrocarbon Scan (310t13) „ Refrigerated? yes no 11. Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes___ no 12. Glyphosate (547) 12. Acid Extractables (625^
Free Chlorine Res:. _______ mg/L 13. Diquat (549) , 14. Chlorination Disinfection Byproducts (551) 13..,^Base Neutral Extractara ^4^C/MS Semivolatilp.^S US 15. Purgeable HalocaibjJBI $ Total Chlorine Res: _______ mg/L 15. Haloacetic Acids (552) 16. Pesticides (SM1'8/663O) 16. Purgeable Aroma)^^^ 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s^^^ pH 18. Other:_______________________ 18. Other:_______
INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) ; 1. Color 20. Acidity 39. Aluminum 2. Turbidity 21. Alkalinity, as CaCOs 40. Antimony 3. pH 22. Bromide 41. Arsenic 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 5. Corrosivity (temp: 6. BOD (5 day) .’C) 24. Chloride 25. Cyanide 43.Berylliun^»^ 44. Boron 45. CadmiutriwK.., J I 7. Soluble BOD (5 day) 26. Fluoride 8. Carbonaceous BOD (5 day) 27. Hardness. Total as CaCOs 46. Calcium, 28. Nitrogen, Ammonia as N 47.Calcium, C^S^ V 9. Chemical Oxygen Demand * 48. Chromium, TotaK. ■ 10. Dissolved Oxygen 11. Total Organic Carbon 12." Total Organic Halides l^Solids, Percent (%) 29. Nitrogen, Nitrate as N 30. Nitrogen, Nitrite as N 31. Nitrogen, Total Kjeldahl as N 32. Oil an Grease 49. Chromium, Hex^^ 4 I ^Holids, Settleable 33. Phenol 5! .V ^rSolids, Suspended 34. Phosphorus Total as P 53l 35. Phosphorus, Ortho as I 54 16. Solids, Total 36. Sulfates 55 17. Solids, Total Dissolved 37. Surfactants 56. 18. Solids, Total Volatile 38. UV254 5? 19. Other;_____________ _ 51 1
NYC-WTC_000071904
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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_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_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_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 0.997
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_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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071089
Form 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_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_000072168
Record tracking the chain of custody for environmental samples submitted to the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072702
Fragmented chain of custody record for samples submitted to 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_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 0.996
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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