Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
NYC-WTC_000072684–000072686Folder label: “25830”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM tester oov.com WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 /(914) 593-5575 H NYS-ELAP No. 10108 Date Set: Forrn A-70 (rev.1/96)
Sample Type (circle one): c; ' T Potable 3. Non Potable Treated Bottler’s: 2. Non Potable 4. Other___________________ Chain of Custody? yes___ no Time/Date Collected: ______ L9|A1|. '2,00 \ Comments: Collected By: Agency Code:. PWS #:________ Source ID: TypeDes6ript6r: Collected From: Bill to: Location's/lndividual’s Name r'- NJ / Name/Company _ •S' Street_________________ Street City/St/Zip______________ City/St/Zip •< i-.
Identification of Source _ __ : Phone#: _ Fax#; j. / Collection Point I CA.CH. BI?H/&g; _ Check#: Yi; V.:-' A "/Sfci*'’',
BACTERIOLOGICAL ANALYSIS ORGANIC POTABLE ^AI^IS.^ »abR^ic , NfjNPOTOBlSlBaSiKtYSs’^ Lab#:________ ______ (circle tests) (circle tests) ' rtM H— 1. Heterotrophic Plate ,1. Trihalomethanes (524) Count (hemodialysis & all others) ' 2^. Volatile Halocarbons (524) 2. Purgeable Aromatics (624/8_26b) 's - ; , 2. Coliform P/A (public supplies) <3; Volatile Aromatics (524) 3. Acrolein & Acrylonitrile'(6iSt) \. . . ■ 3. Coliform MPN (priv well, raw, stp) 4. Total Trihalomethane Potential (510) 4. Phthalate (625/8270) ' • '' 4. Fecal Coliform (all samples) 5. Microextractables (504) '5. Organochlorine Pesticides^'(608/8081) 5. Microscopic 6. Pesticides (507) ■. 6. PCB’s (Arochlors) (608/8081) 6.Jg|croscopic 7. Pesticides/PCB screen (508) 7. Methoprene(616) . 8. PCB as Decachlorobiphenyl (508A) 8. Herbicides (EPAI 978/8151) . 8. Other:____________________ 9. Herbicides (515) 9. Pesticides (SMI 8/6630)" iO^ Pesticides (525) 10. Petroleum Hydrocarbon Scan (310-13) Refrigerated?yes___ no 11. Carbamate Pesticides (531) 11. Glycols Chlorinated:? yes no 12. Glyphosate (547) 12. Acid Extractables (625/8270) 13. Diquat (549) IS, Base Neutral Extractables (625/8270) Free Chlorine Res:. mg/L 14. Chlorination Disinfection Byproducts (551) /14) GC/MS Semivolatile Unknown Scan Total Chlorine Res:''i2 15. Haloacetic Acids (552) T5. Purgeable Halocarbons (DEF) mg/L 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) 39. Alurninum S 1. Color 20. Acidity 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 CaCOs 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 b 11.,Total Organic Carbon 30. Nitrogen, Nitrite as N 49. Chromium, Hexavalent 68. Semi-viola(iles 12."Total Organic Halides 31. Nitrogen, Total Kjeldahl as N 50. Cobalt 69. Pesticides/pCB's 13^olids, Percent (%) 32. Oil an Grease 51. Copper 70. Disk Deliverables l|H^lids, Settleable 33. Phenol 52. Iron TCLP 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_o6ob72686
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NYC-WTC_000071974
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 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071956
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 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072313
Form documenting the transfer and receipt of samples at the Westchester County Department of Labs & Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070942
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 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071466
Record documenting the transfer and chain of custody for samples sent to the Westchester County Department of Labs.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072760
Fragmented chain of custody record for samples submitted to Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071348
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072249
Form documenting the transfer and logging of environmental samples at the Westchester County laboratory.
9 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070907
Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research including sampling contact information.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000027531
Documentation tracking the transfer and handling of environmental samples between collection sites and the Westchester County Department of Labs.
11 shared non-person entities · 1 shared topics · similarity 0.992
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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