Documentation recording the transfer and handling of a water sample submitted to Westchester County Department of Labs.
NYC-WTC_000074572–000074580Folder label: “AE 04843”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document .5»—S
ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM " WESTCHESTER COUNTY LABORATORIES ANO RESEARCH 2 Dana Road, Valhalla, New York 10595 (914)593-5575 ~ SA i
NYS-eUAP No. 10108 Time/Date Set FormA-7O(rev.1/98)
Sample Type (circle one): ^Potable 3. Non Potable Treated 2. Non Potable 4. Other________ _ Chain of Custody? __ yes __ no Time/DateCollected: iQ 0(2 Comments: Collected By: )Z Agency Code: _____ _ PWS#: A Source 10: Type Deecrtptor. _ Collected From: Bill to: Location’s/Individual’s Name Mot Name/Company Street __________ . StreetXOO Cfty/St/ap ________ ; City/St/Zip__„ T -A aM; Identification of Source __ ^^__Fax#:__„ Collection Point _______ Ulm - I C^CH^ BI?LO Check#:_______'AmounC2
bacteriological ANALYSIS ORGANIC POTABLE ANALYSIS ””oRGAfiicNONPOrAmS^ Lab#: _______ - • . . Lab^ (circle tests) (circle tests) 1, Heterotrophic Plate 1. Trihalometbanes (524) Count (hemodialysis & all others) 2. Wle Halot^^ 1 2. Coliforrn P/A (public supplies) 3. Volatile Aromatics (524) 3. Coliform MPN (priv well, raw, stp) ; 4. Total Trlhalomethane Potential (510) 4. Fecal Collfortn (all samples) 5. iVIlcroextractables (S04) '5..S(feoscpplC' '. 6. Pesticides (507) e.Macroscopic '’"'A.- 7.Pestloldes/PCBscreen(5O8) 8. PCBasDecachlorobiphenyl (SOSA) 8. Other ______ ■:WHertrtcl^;{5W<^^^ Refrigerated? yes no 1Q Pesticides (525) r 11.Carbamate Pesticldes(53l) ' ■, :''yW Chlorinated:? ___ .yes _no 12?QIypho8ate (547) , 12. AddExtractables (625/8270) ;; 13. Diquat (649) . VX - Free Chlorine Res: — rcg/L M. Chlorination Disinfection Byprodtwb (551) 5fyO TotalChiorineRes: __ 17. Petroleum/Hydrocarbon Scan (310-13) 17. Pesfldidea/PCB’S (DEF) y.
INORGANIC ANALYSIS REQUESTED - Lab#; „ A- .YX'Yr 1 fcircle tests} ■■■■ 1. Color 20.A:idity ‘J- f.X ^9(Aluminum 1 2. Turbidity ■ ;^':pKOA-^ 21,Alkalinity, as CaCOs
23.Bromate/Chlorate/Chlorite l42.Barium ‘Uirci'- I 4. Conductivity 5>, CorrosFvity(temp:. 6. BOD (5 day} 7. Spluble Bbp (S day) 25. Cyanide . ■?6Miotide,.-.,.., , i 27. Hardness.Total as CaCOs 46.Calclum,as CaCOa
I 8. Carbonaceous BOD (5 day) 9. Chemical (keygen Demand 2S. Nl^en, Ammonia as N 47£alclum,Ca^2 10. Dissolved Oxygen 29, Nitrogen. Nitrate as N <Chromiym. Total 67. Volatile ■ ; 11. Total Organic Carbon 30. Nttrogen, Nitrite as N , 12. Tobi Organic Halides Sl.Nltrogen.TotaJKjeldahlasN 13. Soltds, Percent (%) 32.0iianGrease ■ WhWM* • 14. Solids. Settleable SS.Phenol' ' 15. Solids, Suspended 34. Phosphorus Total as P 54. Magnesium 71.TCIP-M8ta!s 18. Solids, Total 35. Phosphorus, Ortho as P 36.Sultetes 72.TCLP-Pea»cide8 17. Solids, Total Dissolved 73. TCIP-Herbicides 18. Solids, Total Volatile 37. Surfactants f56.»Iercury 57Mo!ybtfenum 74.TCLP-Volatile8 Other \ ,■ 38.UV254
NYC-WTC_000074578
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NYC-WTC_000074995
Form documenting the chain of custody for samples submitted to or received from the Westchester County laboratory.
11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072929
Document recording the chain of custody for samples submitted 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_000072904
Record tracking the custody of 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_000074597
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 0.992
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074218
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 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074501
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072860
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074665
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074267
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 0.991
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074152
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 0.990
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 0.990
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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