Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.
NYC-WTC_000073075–000073079Folder label: “AE 02092”
OCR status: ocr · source: ours
NYC 9/11 Public Portal Document Westchester oov.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.Jype (circle one): (1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: 1037 1.28.02 Collected By: D.SCOTT - Agency Code:. Collected From: NYC DEP Locationis/ndividuals aT CAICE PRIVC Street _ City/St/Zip VALHALLH NY10515 Identification of Source Collection Point ( V06/) DOREDITED IN ACCO nelac NYS-ELAP No. 10108 Form A-70 (rev.10/01) ()24/12450 ,24ЧА 243612430,2444 Bottle #'s: 2 9050с0 404 к vосткnси Chain of Custody?YesNo4rL P783,262 Comments:_ PWS #:_ Source ID: Type Descriptor: Bill to: Name/Company Street City/St/Zip Phone#: _ Fax#: CA,CН, ВІ? Check#: Amount$ BACTERIOLOGICAL ANALYSIS Lab#: Lab#:. Heterotrophic Plate Count (hemodialysis & all others) Coliform PIA (Public supplies) Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic Macroscopic API - Other: Refrigerated? _ yes Chlorinated:? yes Free Chlorine Res: Total Chlorine Res: _ pH _no -mg/L mg/L ORGANIC POTABLE ANALYSIS Trihalomethanes (524) X Volatile Halocarbons (524) X 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) GC/MS Unknown Scan Phthalates (606MS) Other: RADIOCHEMICAL ANALYSIS Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: _ Color - Acidity Turbidity pH Alkalinity Bromide Conductivity Corrosivity (temp: °C) Bromate/Chlorate/Chlorite Chloride BOD (5 day) Cyanide Carbonaceous BOD (5 day) Fluoride Soluble BOD (5 day) Hardness, Total as CaCO3 Chemical Oxygen Demand Nitrogen, Ammonia as N Dissolved Oxygen Nitrogen, Nitrate as N Total Organic Carbon Nitrogen, Nitrite as N Total Organic Halides Nitrogen, Total Kjeldahl as N Solids, Percent (%) Oil and Grease Solids, Settleable Phenol Solids, Suspended Phosphorus Total as P Solids, Total Phosphorus, Ortho as P Solids. Total Dissolved Sulfates Solids, Total Volatile Surfactants Other: UV254 Aluminum X Antimony _Arsenic Barium X. Beryllium Boron Cadmium Calcium, as CaCO3 Calcium, Ca*2 Chromium. Total Chromium, Hexavalent X Cobalt Copper X Iron Lead Magnesium Manganese Mercury X. Molybdenum Nickel Potassium Selenium Silver Sodium X Thallium Vanadium Zinc CLP Metals/CN Volatiles Semi-violatiles Pesticides/PCB's TCLP TCLP-Metals TCLP-Pesticides TCLP Herbicides TCLP-Volatiles TCLP BNAS NYC-WTC_000073077
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NYC-WTC_000072973
Form documenting the custody chain for samples sent to the Westchester County Department of Labs and Research.
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 0.993
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 0.991
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 0.986
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 0.986
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 0.986
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 0.985
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_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 0.983
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 0.981
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073037
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 0.980
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070332
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 · similarity 0.981
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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