Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.
NYC-WTC_000073037–000073041Folder label: “AE 02084”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
K ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM AWin WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 .5 * (914)231-1620 Fax (914) 231-1772 . * NYS-ELAP No. 10108 Time/Date Set: (TFPj Zbii P P FormA-70(rev.10/01)
Sample Type (circle one): 6^7 41 t'< 0 L,b ^Potable 3. Non Potable Treated
2. Non Potable 4. Other Cl mil I of Custody? .. Yus. No *■’' Time/Date Collected: Comments: Collected By; L- Agency Code: j|W|i|||B8|ii Source ID:. Type Descriptor;J Coliected From: Bill to: Location's/Sndividual’s Name OE-P Name/Company Street _j3_JA£SilZXkZ__Zil^ Street: City/St/Zip City/St/Zip Identification of Source____________________________ : Phone#: Fax#: Collection Point C. A,. O lJ_________________ CA,CH, Bl? Check#:, Amounts,
BACTERiOLOGiCAL ANALYSIS Lab#:
ORGANIC POTABLE ANALYSIS ORGANIC NONPOTABLE/SOLID ANALYSIS (hemodialysis & all others) __ Trihalomethanes (524) __ Purgeabie Halocarbons (624/8260) ; i>^olatile Halocarbons (524) __ Purgeable Aromatics (624/8260) __ Coliform P/A (Public supplies) „Y:'9oiatile Aromatics (524) __ Coliform MPN (priv well, raw. stp) _ Acrolein & Acrylonitrile (8260) __ Fecal Coliform (all sample^ , __ Total Trihalomethane Potential (510) _ Organochiorine Pesticides (608/8081) __ Microscopic __ Microextractables (504) PCB's (Arochlors) (608/8081) __ Macroscopic __ Pesticides/PCB screen (508) __ Herbicides (SM18/6630.8151), __ PCB as Decachlorobiphenyl (508A) _ API __ Other;________________________ _ Herbicides (515) __ Pesticides (525) Refrigerated?yes Carharnate __ Glyphosate (547) !5:j|| ■ Kx; Hus.' Neii'iiil r.xtruci.iblus (G/u/OlVO) Chlorinated:?yes no __ Diquat (549) ..“'th/MS IJnknowi' S.-nn Free Chlorine Res: .. mg/L __ Chlorination Disinfection Byproducts (551) . Phthalates (606MS) Total Chlorine Res: - mg/L __ Haloacetic Acids (552) Other:
lllilllllllllll _ Other Pesticides (SM18/6630) _UCMRList1 —- ----- - ------------ RADiOCHEMiCAL ANALYSIS _ MtBE Only (524)
iNORGANiC ANALYSIS REQUESTED - Lab#: ■— __ Color Acidity __ Aluminum . pijiassium _ Turbidity Alkalinity ^LiYintirnony Selenium pH ' Biomirio __ Arsenic .. Silver __ Conductivity __ Bromate/Chlorate/Chiorite __ Barium _ Sodium ' __ Corrosivity (temp:_______ “C) __ Chloride i ..••beryllium Ahallium- BOD (5 day) __ Cyanide __ Boron . Vanadium __ Carbonaceous BOD (5 day) __ Fluoride /me __ Soluble BOD (5 day) __ Hardness, Total as CaCOa rSS™asCaCO. F __ Chemical Oxygen Demand __ Nitrogen, Ammonia as N _ Calcium, Ca+2 __ Dissolved Oxygen ieta __ Nitrogen, Nitrate as N __ Chromium, Total __ Total Organic Carbon __ Nitrogen, Nitrite as N Chromium, Hexavalent __ Total Organic Halides __ Nitrogen, Total Kjeldahl as N Zcobalt _ _ Solids, Percent (%} Oil and .....Oil __ Grease ' and Grease Solids. Sottleabic .... Phenol ‘•Iron ■I Solids, Suspended Phosphorus lotni ns p Si lend Sows, low Phosoborus, Ortho os P .... Moqnosium I ■3
__________________________ H ____________ NYC-WTC_000073039
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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 0.988
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.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.985
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074526
Chain of custody form 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 0.984
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 0.984
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 0.984
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074407
Chain of custody form 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 0.984
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074700
Chain of custody documentation for environmental samples transferred to the Westchester County Department of Labs and Research in Valhalla.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.984
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074196
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 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000075409
Westchester County Department of Labs and Research chain of custody form for a water sample.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073847
Document tracking the custody and transfer of water samples submitted to Westchester County Department of Labs & 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_000073548
Document tracking the 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 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073432
Document tracking the 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 0.983
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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