Form recording the chain of custody for samples analyzed by Westchester County Department of Labs and Research.
NYC-WTC_000072420–000072423Folder label: “25375”
OCR status: ocr · source: ours
NYC 9/11 Public Portal Document ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LĂBORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 *гC:(914) 593-5575 ne/Dâte Se Sample Type (circle one): CURTA 05.4270 :Potabie: :3. Non-Potable Treated Bottle #s: 2а4. 2 Non-Potable 4hOther Chain of Custody? -yes no Time/Date Collected: sore :15/16/01 Comments: Collected By Lertie Agency Code: PWS #: Source ID: *Collected From: Bill to: Locattons/individuats Name A4e Def Name/Company 4Street 1/1.22 INAtAra Dm Street ciy/SvZipLAhy!+ 90525 City/StZip Fidentification of Source Phone#: Cóllection Point put1e CA, CH, BI?212 • BACTERIOLOGICAL ANALYSES, ORGANIC POTABLE ANALYSES Lab#: (circle tests) 1. Heterotrophic Plate Count (hemodialysis & all others) 2. Coliform P/A (public supplies) Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) .5. Microscopic 6. Macroscopic :AP" Dther: Refrigerated? yes no Chlorinated? yes no Free Chlorine Res: mg/L Total Chlorine Res: mg/L Lab # (circle tests)- :Trihalomethanes (524) Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihälomethana Potential (510) 5 Microextractables (504) Posticides (507) Pesticides/PCB screen (508) PCB as Decachlorobiphenyl (508A) Herbicides (515) Pesticides (525) 11. Carbamate Pesticides (531) 12. Glyphosate (547), 13. Diquat (549) 3 14. Chlorination Disinfection Byproducts (551) 15. Haloacetic Acids (552) 16. Other Pesticides (SM-18/6630) 17. Petroleum/Hydrocarbon Scan (310-13) pH INORGANIC ANALYSES REQUESTED - Lab#: (circle tests.) 1. Color 2. Turbidity 3. pH 4. Conductivity 5. Corrosivity (temp: 6. BOD (5 day): °C) Soluble BOD (5 day). 8 Carbonaceous BOD (5 day) 9. Chemical Oxygen Demand *10. Dissolved Oxygen 11. Total Organic Carbon 12. Total Organic Halides 3 Solids, Perçent (%) Solids, Settleable Solids Suspended Solids. Totals Sez 317 Solids, Total Dissolved 1e Solds, Total Volatila 19 Other» 20. Acidity 21. Aikalinity, as CaCO3 22. Bromide 23. Bromate/Chlorate/Chlorite 24. Chloride 25. Cyanide 26. Fluoride 27. Hardness, Total as CaCO3 28. Nitrogen, Ammonia as N 29. Nitrogen, Nitrate as N. :: 30. Nitrogen, Nitrite as N°: 31. Nitrogen, Total Kjeldahl as N 32. Oil and Grease® 33. Phenol: 34. Phosphorus: Total as P 35. Phosphorus, Ortho as P. 36. Sulfates 37 Surfactants 38.UV254 15376 39. Aluminum, Antimony Arsenic: 42. Barium Beryllium 44. Boron 45. Cadmium 46. Calcium, as CaCOs 47. Calcium, Cat? 48. Chromium, Total 49. Chromium, Hexavalent Cobalt 51. Copper 52. Iron? 53. Lead : 54. Magnesium 55. Manganese .56. Mercury 57 Molybdenum 58: Nickel NYC-WTC_000072422 INYS-ELAP Nos Form A-70 (revs 9r2% Type Descriptor: Fax # Check#: Amount$ ORGANIC NONPOTABLE/SOLID ANALYSES 1. :Purgeable Halocarbons (624/8260) 3 Purgeable Aromatics (624/8260) Acrolein & Acrylonitrile (624) 3 Phthalates (606/8060) 5. 6: Organochlorine Pesticides (608/8080 PCB's (Arochlors) (608/8080) Herbicides (SM-18/6640; 8151), 8 Other Pesticides (SM-18/6630) 9 . Petroleum Hydrocarbon Scan (310-13 M10. Glycols in Water 411. Acid Extractables (625/8270) 12. Base Neutral Extractables (625/8270) 13 GC/MS Unknown, Scan 4. Purgeable Halocarbons (DEF) 15. Purgeable Aromatics (DEF) 16. Pesticides (DEF) 17. PCB's (Arochlors) (DEF) Metal 59. Potassium 3 60. Selenium 61. Silver 62. Sodium .63 Thallium 64) Vanadium 65. Zinc CLP 66. Metals/CN 67. Volatiles .68. Semi-volatiles 69. Pesticides/PCB's :70. Disk Deliverables ICLP 71: TCLP-Metals 72. TCLP-Pesticides :73. TCLP-Herbicides 74. TCLP-Volatiles 75, TCLP-BNA'S
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NYC-WTC_000070606
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070523
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071406
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071383
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 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072290
Document recording the chain of custody for environmental samples processed by the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070477
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.986
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070500
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.985
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071794
Document tracking the transfer and custody of samples received by Westchester County Department of Labs & Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072837
Document tracking the transfer of environmental samples to Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070245
Record documenting 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 0.981
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070687
Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.981
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072580
Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.981
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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NYC-WTC_000072424
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Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
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Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and 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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