Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000072362–000072369Folder label: “25259”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road. Valhalla. New York 10595 (914) 593-5575 NYS-ELAP No. 10108 • e/Date Set;_________ Form A-70 (rev. 1/96) Sample Type (circle one); ^Potable 3. Non-Potable Treated Bottle #*s:<__ Ll A 2. Non-Potable 4. Other_____________ Chain of Custody? no Time/Date Collecte^ Comments: Collected By: Code:: PWS #;_________ Source ID;, Type Descriptor:. Collected From: ' Bill to: Location's/lndividual's Name. Name/Company Street__________________ Street__________ City/SVZip______________ City/St/Zip Identification of Source Phone#: _Fax #:, Collection Point, I CA, CH. Bl? Check#: Amounts.
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:_______ __Z_____ Lab #:_______________________ (circle tests) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) /2?| Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) vs/ Volatile Aromatics (524) ".s' 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv well. raw. stp) 4. Total Trihalomethane Potential (510) “ 4. Phthalates (606/8060) 4. Fecal Coliform (all samples) 5. Microextractables (504) {. 5. Organochlorine Pesticides (608/8080) f6. PCB’s (Arochlors) (608/8080)
4 5. Microscopic Pesticides (507) y 6. Macroscopic Pesticides/PCB screen (508) ,p «7. Herbicides (SM-18/6640; 8151) Af! PCB as Decachlorobiphenyl (5d8A) j 8. Other Pesticides (SM-18/6630) Other:__^_______________ 9. Herbicides (515). V’ f 9. Petroleum Hydrocarbon Scan (310-13) Pesticides (525)- | 10. Glycols in Water Refrigerated? .yes. no Tl. Carbamate Pesticides (531) ./ ; *11. Acid Extractibles (625/8270) 12. Glyphosate (547) Base Neutral Extractables (625/8270) Chlorinated?: .yes. .no 13. Diquat (549) - *' ?■ GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) Purgeable Halocarbons (DEF);. Free Chlorine Res:. .mg/L 15. Haloacetic Acids (552) ' *■ \ 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630);'.. ’ _ 16. Pesticides (DEF) Total Chlorine Res; "" mq/L 17. Petroleum/Hydrocarboh Scan ^31 ■ 17. PCB's (Arochlors) (DEF) \
pH , 1 ' i-;!® INORGANIC ANALYSES REQUESTED - Lab#;. 33^ •fc (circle tests) ‘ ' ■ Or 1. Color , 20. Acidity •2*“ 39- Alumin^rri 59. Potassium y 2. TurbKiit^r 21. Alkalinity, as CaCOa 40. Antimi^y" ■ .60. Selenium 3, pH 22. Bromide 41. Ar§eni^"Y 61. Silver 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Banuna?;" 62. .Sodium 5. Corrosivity (temp: .“C) 24. Chloride 43. BerylliuTVi''' 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-volatiles 12. Total Organic Halides 31. Nitrogen. Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB's i3. Solids. Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables Pl. Solids. Settleable 33. Phenol 52. Iron TCLP 15. Solids, Suspended 34. Phosphorus. Total as P 53. Lead 71. TCLP-Metals 16. Solids, Total 35. Phosphorus. Ortho as P 54. Magnesium • 72. TCLP-Pesficides 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. IIV254 / 57. Molybdenum 75. TCLP-BNA's 58. Nickel
NYC-WTC_000072363
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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 0.997
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_000071265
Document recording 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_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_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_000071530
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_000071429
Document tracking the custody and handling of environmental samples submitted to Westchester County Department of Labs.
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_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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070981
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 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070870
Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027437
Document tracking the custody and handling of environmental samples submitted to the laboratory.
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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NYC-WTC_000072370
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Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
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Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
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