NYC Law Department release
Independent mirror · updated as the City releases more · v1.2.6
← Document results/DEP Box 61/26476
Document / 8 pages

Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Form documenting the chain of custody for samples submitted to the Westchester County Department of Labs & Research.

NYC-WTC_000072053–000072060

Folder label: “26476

Page image
Scanned page image, NYC-WTC_000072055
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM •WWni WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595

NYS-ELAP No. 10108 le/Date Set: Form A-70 (rev, 1/96)

Sample Jype (circle one); €1 f'*'*’/ z.r,F'v gg Pottle’ 3. Non Potable Treated Bottle #'s; ( . Y C h; AL &S 5Z., “2?T3on Potable 4. Other ______ Chain of Custody? yes no Time/Date Collected; b' '' Comments: _____ Collected By: )h Agency Code;' Source ID; Type Descriptor; Collected From: Bill to; Location’s/lndividual’s Name Name/Company ___ Street ■' i g.. |il8it/itiaS|gjglSggl8 City/St/Zip T , r sBiM8|gi|g||gg Identification of Source- Phone#: _______ Fax#;^ Collection Point g.g CA.CH, Bl? Check#;: Amounts

BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS

(circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524)Bi||®|||i|| 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) /2f\Volatile Halocarbons 2. Purgeabie Aromatics (624/8260) 2. Coliform P/A (public supplies) (.ZZVoiatiie Aromatics (524) I 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. Microexfractables (504) 5. Organochlorine Pesticides (608/8081) ^Microscopic ^6. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) Hwacroscopic .^t) Pesticides/PCB screen (508) 7. Methoprene (616) a PCB as Decachiorobiphenyl (508A) 8, Herbicides (EPAI 978/8151) ither: 9^ Herbicides (515) 9. Pesticides (SMI8/6630) 6^ Pesticides (525) ||l|sB;|||||l||ji|l| 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? yes no IT Carbamate Pesticides (531) 11. Glycols Chlorinated:? i yes no 12. Glyphosate (547) 12. Acid Extractabies (625/8270) 13. Diquat (549) 13,^ Base Neutral Extractables (625/8270) Free Chlorine Res;, Total Chlorine Res:- mg/L^ mg/L 14. Chlorination Disinfection Byproducts (551) 15. Haloacetic Acids (552) (gjGC/MS Semivoiatiie Unknown Scan 15. Purgeabie Halocarbons (DEF)i ■B 16.' Pesticides (SM18/6630) 16. Purgeable Aromatics (DEF) pH 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesticides/PCB's (DEF) 18. Other;„_ _____ _____ _ __ _______ 18. Other:. . .... ________ ■

INORGANIC ANALYSIS REQUESTED - Lab#: ||||ji:|||g|ggg?g:?gggg|gggl ?|g®|8Hgf?gggggggSgllg^ 20. Acidity g. WFg... - 39. Aluminum igyg-..g.-O F,.g’ V 59'. Potassium iSililOilJglliggliiligliig 21. Alkalinity, as CaCOa go? Antimony 22, Bromide ''41. Arsenic 61.. Silver 4. Conductivity 23, Bromate/Chlorate/Chlorite 42, Barium /eal Sodium 5. Corrosivity (temp:®C)- 24. Chloride f43. Beryllium (63. Thallium 6. BOD (5 day) 25. Cyanide ' 44. Boron 7645 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 CaCOa 9, Chemical Oxygen Demand 28. Nitrogen, Ammonia as N {4.7. Calcium, Ca*^ 66?MetalFCN 10. Dissolved Oxygen 29. Nitrogen, Nitrate as N 48. Chromium, Total 67. Vol.hl-.. 11. Total Organic Carbon 30. Nitrogen, Nitrite as N _4.9. Chromium, Hexavalent: 12. Total Organic Halides 31. Nitrogen, Total Kjeldahl as N f50.Cobalt 69. Pesticides/PCB's gljT Solids, Percent (%) 32. Oil an Grease M-Copper 70. Disk Deliverables IH^olids, Settleable ’^PBolids, Suspended TCLP 16. Solids, Total I Ci I 17. Solids, Total Dissolved 18. Solids,'fbtal Volatile 18. Solids,-total il9.:Other: Volatile _ _____ 37. Surfactants 38. UV254 gG Mercmy (S^Molybdenum g, , - ■ 58. Nickel gg I ■MM ■MMI ■i NYC-WTC_000072055

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

NYC-WTC_000072055Source: 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_000070845 · Box DEP Box 61

Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.

Similar indexed content

NYC-WTC_000073316 · Box DEP Box 62

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

Similar indexed content

Compare copies and versions →