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
HI ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 UtoctchMter County (914) 593-5575 NYS-ELAPNo. 10108 ^ime/Date Set:_________________________ Form A-70 (rev. 1/96) Sample Type (circle one): t- ' ' ■ ' ' t * ' / a X 11:.. Potable 3. Non-Potable Treated Bottle #’s:'TvxT t , ) I • \ 2. Non-Potable 4. Other____________ Chain of Custody? yes no Time/Date Collected:_ \ 1 S' O\ Comments:__________ Collected Bv: \ ' i\ < Agency Code: PWS #:______________ Source ID: Type Descriptor: Collected From: Bill to: Location's/lndividual’s Name v> r. V \ Name/Company Street___________________________________ Street_______________ City/St/Zip________________________________ City/St/Zip____________ Identification of Source____________ Dtp Phone#:_____________ Fax #: Collection Point T. b I CA. CH. Bl?. Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANIC NONPOTABLE/SOLID ANALYSES Lab#:______________________ Lab #:____________________________ (circle tests) (circle tests) 1. Heterotrophic Plate 1. Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) ■'zX Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8260) 2. Coliform P/A (public supplies) Volatile Aromatics (524) ' 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. Organochloriqe Pesticides (608/8080) 5. Microscopic Pesticides (507) 6. PCB’s (Arochlors) (608/8080) 6. Macroscopic Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) API PCB as Decachlorobiphenyl (508A) 8. Other Pesticides (SM-18/6630) Other:- Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) Pesticides (525) * 10. Glycols in Water Refrigerated? .yes. no Tf. Carbamate Pesticides (531) 11. Acid Exfractables (625/8270) 'v 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270)' , Chlorinated?: yes no 13. Diquat (549) GC/MS Unknown Scan 14. Chlorination Disinfection Byproducts (551) t4. 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: *" ‘m'q/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB’s (Arochlors) (DEF) < — i pH ( /•
INORGANIC ANALYSES REQUESTED - Lab#: 0.7 • (circle tests) 1
1. Color 20. Acidity 39. Aluminum 59. Potassium ,.r 2. Turbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Seleniurh 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. Motals/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 Solids, Percent (%) 32. Oil and Grease 51. Copper 70. Disk Deliverables Solids. Settleable 33. Phenol 52. Iron TCLP Solids, Suspended 34. Phosphorus. Total as P 53. Lead 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 74. TCLP-Volatiles 19. Other:_____________ 38. LIV254 57. Molybdenum 75. TCLP-BNA's 58. Nickel
NYC-WTC_000072366
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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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