NYC Law Department release
Independent mirror · updated as the City releases more · v1.2.6
← Document results/DEP Box 61/26470
Document / 8 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_000071992–000071999

Folder label: “26470

Page image
Scanned page image, NYC-WTC_000071998
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Westchester gov.com ENVIRONMENTALSERVICES SAMPLESUBMISSIONFORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 Time/Date Set: Sample Type (circle one): (L.Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 074 C Collected By: L 16.07-01 Agency Code: Collected From: Location's/Individual's Name_ NVC. Drp Street 1C1 Mestiake City/St/Zip Veihallo 11/1059) Identification of Source Collection Point Lcl NYS-ELAP No. 10108 Form A-70 (rev.1/96) C-041/ ТУ0T,1н, 127 Bottle #s: Q285 158387 K 020y <v2 Chain of Custody? -yes- 8863 Comments: PWS #:_ Source ID: Type Descriptor: Bill to: Name/Company Street City/St/Zip Phone#: _ Fax#: CA,CH, BI? Check#: Amount$ BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS Lab#: (circle tests) 1. Heterotrophic Plate Count (hemodialysis & all others) 2. Coliform P/A (public supplies) 3. Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic o. Macroscopic 7. API 8. Other: Refrigerated? Chlorinated: ? Free Chlorine Res: - yes yes -no mg/L mg/L Total Chlorine Res: pH Lab#: (circle tests) 1. Trihalomethanes (524) 2. Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) 5. Microextractables (504) co Pesticides (507) Pesticides/PCB screen (508) 8. PCB as Decachlorobiphenyl (508A) 9 Herbicides (515) Pesticides (525) 11. 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: INORGANIC ANALYSIS REQUESTED - Lab#: (circle tests) 1. Color 20. Acidity 2. Turbidity 21. Alkalinity, as CaCO3 3. pH 22. Bromide 4. Conductivity 23. Bromate/Chlorate/Chlorite 5. Corrosivity (temp: °C) 24. Chloride 6. BOD (5 day) 25. Cyanide 7. Soluble BOD (5 day) 26. Fluoride 8. Carbonaceous BOD (5 day) 27. Hardness, Total as CaCO3 9. Chemical Oxygen Demand 28. Nitrogen, Ammonia as N 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 11. Total Organic Carbon 30. Nitrogen, Nitrite as N 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 3. Solids, Percent (%) 32. Oil an Grease 14. Solids, Settleable 33. Phenol 15. Solids, Suspended 34. Phosphorus Total as P 16. Solids, Total 35. Phosphorus, Ortho as P 17, Solids, Total Dissolved 36. Sulfates 18. Solids, Total Volatile 37. Surfactants 19. Other: 38. UV254 6470 39. Aluminum (40. Antimony 41. Arsenic 42. Barium 43 Beryllium 44. Boron 45. Cadmium 46. Calcium, as CaCO3 (47 Caicium, Ca+2 48. Chromium, Total 49. Chromium, Hexavalent u.Cobalt 51. Copper 52. Iron 53.Lead 54 Magnesium 55 Manganese 56. Mercury 57) Molybdenum 58, Nickel 1. Purgeable Halocarbons (624/8260) 2. Purgeable Aromatics (624/8260) 3. Acrolein & Acrylonitrile (624) 4. Phthalates (625/8270) 5. Organochlorine Pesticides (608/8081) 6. PCB's (Arochlors) (608/8081) 7. Methoprene (616) 8. Herbicides (EPA1978/8151) 9. Pesticides(SM18/6630) 10. Petroleum Hydrocarbon Scan (310-13) 11. Glycols 12. Acid Extractables (625/8270) 13. Base Neutral Extractables (625/8270) (4GC/MS Semivolatile Unknown Scan 15. Purgeable Halocarbons (DEF) 16. Purgeable Aromatics (DEF) 17. Pesticides/PCB's (DEF) 18. Other: Meta 59,Potassium 60. Selenjum 61. Silver 62. Sodium (63./Thallium 64. Vanadlun 65. Zinc CLP 66. Metals/CN 67. Volatiles 68. Semi-violatiles 69. Pesticides/PCB'S 70. Disk Deliverables TCLP 71.TCLP-Metals -72. TCLP-Pesticides 73, TCLP-Herbicides 74. TCLP-Volatiles 75. TCLP-BNAS NYC-WTC_000071998

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

NYC-WTC_000071998Source: 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

No available related records indexed in this group.

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_000070606 · Box DEP Box 61

Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

Similar indexed content

Compare copies and versions →