Form documenting the custody chain for samples sent to the Westchester County Department of Labs and Research.
NYC-WTC_000072973–000072977Folder label: “AE 01940”
OCR status: ocr · source: ours
NYC 9/11 Public Portal Document Westchester gov.com ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 (914) 231-1620 Fax (914) 231-1772 Time/Date Set: Sample Type (circle one): 1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 1 1.25.02 0815 Collected By:_D. 5COTT Agency Code: Collected From: Location's/Individual's Name NY C DEP Street 1NAT LAKE DRIVE City/St/Zip VALHALLA, NY +10695 Identification of Source Collection Point- DELIÊ nel NYS-ELAP No. 10108 Form A-70 (rev.10/01) K9978,K49m7 ,K1970 Bottle #s:1423,12601125 002420 02421 Chain of Custody? Yes No Comments: PWS #: Source ID: Type Descriptor: Bill to: Name/Company Street City/St/Zip Phone#: Fax#: CA,CН, ВІ? Check#: •Amount$ BACTErIOLOGICAL ANALYSIS Lab#2 Heterotrophic Plate Count (hemodialysis & all others) Coliform P/A (Public supplies) Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic Macroscopic - API Other:: Refrigerated? _ yes_ no Chlorinated:?_ - yes _ no Free Chlorine Res: 2mg/L Total Chlorine Res: -mg/L pH Lab#:. ORGANIC POTABLE ANALYSIS Trihalomethanes (524) X Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticides/PCB screen (508) PCB as Decachlorobiphenyl (508A) Herbicides (515) Pesticides (525) Carbamate Pesticides (531) Glyphosate (547) Diquat (549) Chlorination Disinfection Byproducts (551) Haloacetic Acids (552) Other Pesticides (SM18/6630) UCMR List 1 MIBE Only (524) ORGANIC NONPOTABLE/ SOLID ANALYSIS Purgeable Halocarbons(624/8260) Purgeable Aromatics(624/8260) Acrolein & Acrylonitrile (8260) Organochlorine Pesticides (608/8081) PCB's (Arochlors) (608/8081) Herbicides (SM18/6630,8151) Other Pesticides (SM18/6630) Petroleum Hydrocarbon Scan (310-13) Glycols in Water Acid Extractables (625/8270) Base Neutral Extractables (625/8270) X GC/MS Unknown Scan Phthalates (606MS) Other: RADIOCHEMICAL ANALYSIS Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: _ Color Turbidity pH Conductivity Corrosivity (temp: °C) BOD (5 day) Carbonaceous BOD (5 day) Soluble BOD (5 day) Chemical Oxygen Demand Dissolved Oxygen Total Organic Carbon Total Organic Halides Solids, Percent (%) Solids, Settleable Solids, Suspended Solids, Total Solids, Total Dissolved Solids, Total Volatile * Other: Acidity Alkalinity Bromide Bromate/Chlorate/Chlorite Chloride Cyanide Fluoride Hardness, Total as CaCO3 Nitrogen, Ammonia as N Nitrogen, Nitrate as N Nitrogen, Nitrite as N Nitrogen, Total Kjeldahl as N Oil and Grease Phenol Phosphorus Total as P Phosphorus, Ortho as P Sulfates Surfactants UV254 Aluminum 2 Antimony _Arsenic Mite Barium XBeryllium Boron Cadmium Calcium, as CaCO3 Calcium, Ca*2 Chromium, Total Chromium, Hexavalent XCobalt Copper Alron Lead Magnesium XManganese Mercury 2. Molybdenum Nickel Potassium Selenium Silver Sodium X Thallium Vanadium Zinc CLP Metals/CN Volatiles Semi-violatiles Pesticides/PCB's ICLP TCLP-Metals TCLP Pesticides TCLP-Herbicides TCLP-Volatiles TCLP-BNAS NYC-WTC_000072975
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NYC-WTC_000073075
Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072954
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 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073056
Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074152
Document tracking sample transfer to 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_000074196
Document tracking sample transfer to Westchester County Department of Labs and Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.987
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073233
Document recording sample chain of custody for 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_000074572
Documentation recording the transfer and handling of a water sample submitted to Westchester County Department of Labs.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.985
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073252
Document recording sample chain of custody for the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.984
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072885
Document tracking the transfer of environmental samples to Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073825
Document tracking the custody and transfer of water samples submitted to Westchester County Department of Labs & Research.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.982
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074218
Document tracking sample transfer to Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.982
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074358
Documentation tracking the custody and transfer of environmental samples to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.982
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.
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Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.
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