Document recording sample chain of custody for the Westchester County Department of Labs and Research.
NYC-WTC_000073233–000073237Folder label: “AE 02575”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM Ml bSh WESTCHESTER COUNTY LABORATORiES AND RESEARCH 2 Dana Road, Valhalla, New York 10595 V. * ( lUosrriGSto. Countv (914) 593-5575 .X NYS-ELAP No. 10108 Time/Date Set: Form A-7ij (i, V. V96) ""san^eType (circle one); r"-. K- II Potable 3. Non-Potable Treafed Bottle ____________ C.J 4 C- .L. '‘■2'.'*"Non--P6{ab!e 4. Other Chain of Custody? J yes J no ' .
Time/Date Coiiected;__£l_-UY’2-.*---L.;£/_________ Comments: rv —--nt----- - ’ Collected By; 1 ;. S-.r ."> »______ Agency Code: PWS #:Source ID:Type Descriptor: Collected ...... Erom......... Location’s.'Individual's Name __ My L J ‘ Name/Company.
Street,... Street______ City/SVZip YA<..4-hu.i Citv/St/ZiD Identification of Source________ _________________ ___ : Phone#:_^__ _ .Fax #; Collection Point ZtT rCA7cH?Bi7 Check#: Amounts
BACTERIOLOGICAL ANALYSES ORGANIC POTABLE ANALYSES ORGANiC NONPOTABLE/SOLID ANALYSES
l^gggKgK^^ Lab #;_______ ___________________ (Circle Sesis) ■ circle lesls) 1. Heterotrophic Plate 1. ■ Trihalomethanes (524) 1. Purgeable Halocarbons (624/8260) Count (hemodialysis & all others) ■'2.'> Volatile Halocarbons (524) 2. Purgeable Aromatics (624/826C) 2. Coliform P/A (public supplies) Volatile Aromatics (524) 3. Acrolein & Acrylonitrile (624) 3. Coliform MPN (priv weii, raw, stp) T Total Trihalomethane Potential (510) 4. Phthalates (606/8060) 4. Fe.-al Coliform (all samples) 5. Microextractables (504) 5. Organochlorine Pesticides (608/8080) 5. Microscopic. 6. Pesticides (507) 6. PCB's (Arochlor.s) (608./8080) 6. Macroscopic 7. Pesticides/PCB screen (508) 7. Herbicides (SM-18/6640; 8151) 8. PCB as Decachlorobiphenyl (508A) ' 8. Other Pesticides (SM-.18/6630) 8. other;,,..__ _ ________ ;_____ 9. Herbicides (515) 9. Petroleum Hydrocarbon Scan (310-13) 1u (n25) 10. Glycols in Wcite^ Refrigerated? ,yes no 11. Carbamate Pesticides (531) 11. Acid Extractables (625/8270) 12. Glyphosate (547) 12. Base Neutral Extractables (625/8270) Chlorinated'’: ...: yes no 13. Diquat (549) j-H'T^C/MS Unknown Scan- 14. Chlounation Disinfection Byproducts (551) 'T'4. Purgeabie Halocarbons (DEF) Free Chlorine Res' mg/L' 15. Haloacetic Acids (552) 15. Purgeable Aromatics (DEF) 16. Other Pesticides (SM-18/6630) 16. Pesticides (DEF) i otai Chlorine ReS; mg/L 17. Petroleum/Hydrocarbon Scan (310-13) 17. PCB's (Arochlors) (DEF) llllllllllBIBIIIiOllllBIBIIIlHHBIBBiBllillllilllllllBiiiBIIIIIBIBIIIBII pH: "I
iNORGANiC ANALYSES REQUESTED - Lab#;: ' 7 / 1 (f?ircie tests) 1. Color 20. Acidity 39. Aluminum 59. Potassium 2, Tuibiditv 21. Alkalinity, as CaCOa (40.^Antirnony 60, Selenium 3. 4. pH Conductivity 22. Biomide 23. Bromate/Chiorate/Chlorite AfTArsenic 42. Barium 61. Silver 62. Sodium ■ 5. Corrosivity (temp: ®C) 24. Chloride C43;Seryiiium T63; 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 CaCOa 46. Calcium, as CaCOa CLP 9. Chemical Oxygen Demand 28, Nitrogen, Ammonia as N 47. Calcium., Ca"^ 66. Metais/CN ■ 1? !'■ ■ 'I..?-! Oxvii.-n ''9 N!fn-:«.m. Nin.ii.. J.-N 4;- Gnu.n.iuni. Tou! 11 ' .V .T «•<.»« m. N I IZ r..T,ai, 31. T«.Kiol.v.1,1 N 'S s
Ml 111 ® 34 Plnx^pncrus otal as 52>lron ,3; ISLE •Li’MeLiis ;LP-PestiCides HP 16. -idm Total 35. - l..v.u!orus irtho as 72.: ■^^0 17. So ids. Total Dissolved itai Volatil 36. Sulfates inganese; '3 iCl.P.Heibicides:
b. 1 OlP BNa s
NYC-WTC_000073237
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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 0.988
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070687
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072837
Document tracking the transfer of environmental samples to Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070276
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 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070477
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 0.990
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070523
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 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070629
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 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072808
Document tracking the transfer of environmental samples to Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072580
Chain of custody record for samples submitted to the Westchester County Department of Labs and Research.
11 shared non-person entities · 1 shared topics · similarity 0.989
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000070961
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 · similarity 0.988
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000071242
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 · similarity 0.988
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Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
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Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.
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Document tracking the transfer of environmental samples to Westchester County Department of Labs and Research.
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