Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000072522–000072529Folder label: “25599”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM ester ovcom WESTCHESTER COUNTY LABORATORIES AND RESEARCH I’ 2 Dana Road, Valhalla. New York 10595 - (914)593-5575 NYS-ELAP No. 101J^ Time/Date Set: ■O'; f Forrn A-70 (rev. 1/9^^
’( 7 Sample Type (circle one): 1. Potable 3. Non Potable Treated Bottle #’s; Jt I 2. Non Potable 4. Other____________ Chain of Custody?___ yes no . I : ■ I! -- ;■ z •. Time/Date Collected: Comments:__________________ Collected By: ‘ ilQijjL- Agency Code: PWS #:_______ Source ID: Type Descriptor: Collected From: Bill to: Location's/lndividual’s Name Name/Company . Street____________ - ‘=5 Street_____ X--
City/St/Zip __ City/St/Zip Identification of Source __ ± Phone#: --M Fax#: Collection Point t» 6 .^ , 5^ ttt; it'. > .• I CA’CH. Bl? '' <.'> ‘'^ -- Check#: .-Amount$222
B^TERIOLOGICALANALraSr ^;.()RGANit NONPOTABLE/SOLID ANALYSIS
(circle tests) 1. Heterotrophic Plate 1. ’Purgeable Halocarbons" (624/8260) ‘ . 5 Count (hemodialysis & all others) ' z^-^Volatile Halocaitohs-(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 (625/8270) ' 4. Fecal Coliform (all sarnples) 5. Microextractables (504) . ’ 5. Organochlorine Pesticides'(608/8081) 5. Microscopic 6? Pesticides (507) ‘ ' 6. PCB’s (Arochlors) (608/8081) | 6. Macroscopic (7) Pesticides/PCB scr'eeti (508) 7. Methoprene (616) " 7. API 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPAI 978/8151) 8. Other:____________________ 9.-Herbicides (515) 9. Pesticides (SMI 8/6630)’ i (^ Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated? no T1. Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes2z_ no 12. Glyphosate (547) ’ 12. Acid Extractables (625/8270) 13. Dfquat (549) IjJ* Base Neutral Extractables (625/8270) Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) ^^GC/MS Semivolatile Unknown Scan Total Chlorine Res: mg/L 15. Haloacetic Acids (552) 15. Purgeable Halocarbons .(DEF) 16. Pesticides (SMI 8/6630) 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) 1. Color 20. A:idity 39.-Aluminum 59. Potassiurn 2. Turbidity 21. Alkalinity, as CaCOa 40. Antimony 60. Selenium. 3. pH 22. Bromide 41. Arsenic 61. Silver ? 4. Conductivity 23. Bromate/Chlorate/Chlorite 42. Barium 62. Sodium i 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 " : A 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-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 ■ 14. Solids, Settleable • 33. Phenol 52. Iron ICLP 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-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_000072523
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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_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_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_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 0.997
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_000071898
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_000072443
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_000072080
Document recording the transfer and receipt of environmental samples at the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996
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 0.996
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 ↗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 0.996
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 0.996
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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NYC-WTC_000072530
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Form tracking samples submitted to the Westchester County Department of Labs and Research.
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