Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
NYC-WTC_000071956–000071958Folder label: “26393”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM !Ster WESTCHESTER COUNTY LABORATORIES AND RESEARCH )vcom 2 Dana Road, Valhalla. New York 10595 (914) 593-5575 NYS-ELAP No. 10108 T« late Set: Form A-70 (rev. 1/96)
Sample Type (circle one): Bottle4-04-<1 1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Chain of Custody?yes J no Time/Date Collected:__________________ ■ r; I 2.^ ) 1) Comments: Collected ByTtK; & 4 h O 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 I CA,CH, Bl? Check#: Amounts^ ' . * r*
ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/^UD ANALYSIS BACTERIOLOGICAL ANALYSIS « p’ •
Lab#: '• Lab#:______________________ (circle tests) (circle tests) 1. Heterotrophic Plate T Trihalomethanes (524) 1. Purgeable Halocarbons •■(624/8260) Count (hemodialysis & all others) /"Z'.Volatile Halocarbons (524) 2. Purgeable Aromatics (62^8260) 2. Coliform P/A (public supplies) V-jSJVolatile Aromatics (524) 3. Acrolein & Acrylonitrile 7^24) 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270)^ j 4: Fecal Coliform (all samples) 5. Microextractables (504) 5. Orga nochlorine Pesticide^(608/8081) 5. Microscopic 6. Pesticides (507) 6. PCB's (Arochlors) (608^8081) > 6. roscopic Pesticides/PCB screen (508) 7. Methoprene (616) } 7. Sf PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPAI 978/81'51: 8. Other: 9. Herbicides (515) 9. Pesticides (SM18/6630)‘ ' (01) Pesticides (525) 10. Petroleum Hydrocarbon (310-13) Refrigerated?yes___ no 11. Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes___ no 12. Glyphosate (547) 12. Acid Extractables (625/8270)‘’^-’'- \V 13. Diquat (549) 13. Base Neutral Extractables (625/8270) iA' Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) (2)GC/MS Semivolatile Unknown Scan Total Chlorine Res: mg/L 15. Haloacetic Acids (552) Purgeable Halocarbons (DEF) .. \ 16. Pesticides (SMI8/6630) 16. Purgeable Aromatics (DEF) A.. pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB’s (DEF) " 18. Other:_________________________ 18. Other:f ■ .y \
INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) .z 1. Color 20. Acidity 39. Alurninum 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOa 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 BOD (5 day) 27. Hardness, Total as CaCOa 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 13^olids, Percent (%) 32. Oil an Grease 51.Copper 70. Disk Deliverables 1^H)lids, Settleable 33. Phenol 52. Iron l^^olids. Suspended 53.Lead T£LE 34. Phosphorus Total as P 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 57 Molybdenum 74. TCLP-Volatiles 19, Other:_________________ 38. UV254 75.TCLP-BNA’s 58. Nickel
NYC-WTC_000071957
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NYC-WTC_000071974
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 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072684
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 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072249
Form documenting the transfer and logging of environmental samples at the Westchester County laboratory.
9 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071348
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072313
Form documenting the transfer and receipt of samples at the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072760
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071466
Record documenting the transfer and chain of custody for samples sent to the Westchester County Department of Labs.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
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 0.991
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 0.991
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 0.991
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027495
Document tracking the custody and handling of environmental samples submitted to the laboratory.
10 shared non-person entities · 1 shared topics · similarity 0.991
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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