Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000072443–000072450Folder label: “25457”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM tester WESTCHESTER COUNTY LABORATORIES AND RESEARCH Oov.com 2 Dana Road, Valhalla, New York 10595 (914) 593-5575 NYS-ELAP No. 10108 JIPate Set: ' • 51 ? ■^-Foryi^-70 (rev.1/96)
Sample Type (circle one): v' j io / 1. Notable 3. Non Potable Treated Bottle #’s: Q; o I I Z 7 2. Non Potable 4. Other____________ Chain of Custody?___ yes no Time/Date Collected: Comments: Collected By: ? Y, 1 Agency Code: PWS #:______ Source ID: Type Descriptor:- Collected From: Bill to: Location’s/lndividual’s Name // * t [ {• * / Name/Company Street_________________ ______________ Street _______ . ■ •
City/St/Zip / City/St/Zip Identification of Source ~ -______________ Phone#: Fax#: ri ;A'>- : Collection Point **• CA.CH, Bl? Check#: ,i:Arnount$M;l^^'
BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ANALYSIS Lab#:^ ________ Labiff:_______ cT f 1= (circle tests) (circle tests) zL. / 1. Purgeable Halocarbons^^^266)^'ft^.. 1. Heterotrophic Plate . j.‘Trihalomethanes (524) Count (hemodialysis. & all others) Volatile Halocarbons (524) 2. Purgeable Aromatics (624^60)"'* 2. Coliform P/A (public supplies) < J/ Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) ,■ Sk* 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalates (625/8270) ' ’ Yro, 4. Fecal Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides "(608/8081) 5. Microscopic Q. Pesticides (507) 6. PCB’s (Arochlors) (608/8081) - • . , 6. roscopic i.7; Pesficides/PCB screen (508) 7. Methoprene (616) ' 7. 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPAI 978/8151) ■ 8. Other: __________________ ,9. Herbicides (515) 9. Pesticides (SMI8/6630) (1^' Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Y Refrigerated?yes no 11. Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) 13^ Base Neutral Extractables (625/8270) Free Chlorine Res:. -mg/L 14. Chlorination Disinfection Byproducts (551) (14/GC/MS Semivolatile Unknown Scan 15. Haloacetic Acids (552) '15. Purgeable Halocarbons (DEF) Total Chlorine Res: mg/L 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#: (circle tests) i 1. Color 20. Acidity I 39.'Alumjnum/ : 59. Potassium 2. Turbidity 21. Alkalinity, as CaCOs 40. Antimony 60. Selenium 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 CaCOa 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-violatiles 12."^Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/PCB’s 13^Solids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables ^^olids. Settleable 33. Phenol 52. Iron l^reolids. 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. UV254 57 Molybdenum 75. TCLP-BNA’s 58. Nickel
NYC-WTC_000072449
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NYC-WTC_000072168
Record tracking the chain of custody for environmental samples submitted to the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070652
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 0.997
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_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_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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072603
Chain of custody record 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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071089
Form 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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072522
Chain of custody record 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 0.996
machine-extracted · confidence unavailable · Check page ↗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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072362
Chain of custody record 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 0.996
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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NYC-WTC_000072451
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Record tracking the chain of custody for environmental samples submitted to the Westchester County laboratory.
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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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Chain of custody documentation for samples submitted to the Westchester County Department of Labs and Research.
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