Westchester County Department of Labs and Research chain of custody form for a water sample.
NYC-WTC_000075432–000075437Folder label: “AE 06584”
OCR status: ocr · source: ours
NYC 9/11 Public Portal Document Westchester sov.com ENVIRONMENTAL SERVICES SAMPLE SUBMISSION FORM WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road, Vaihalla, New York 10595 (914) 231-1620 Fax (914) 231-1772 Time/Date Set: Sample Type (circle one): 1. Potable 3. Non Pofable Treated 2. Non Potable 4. Other,™ Time/Date Colleoted: Collected B. Collocted From: Location's/Individual's Name Street, City/StZ.p.w... Identification of Source. Collection Point Agency Code:. Bottle #'s: Chain of Custody? Comments: PWS#- Bill to: Name/Company Street... City/StZp_ Phone#t: _ CA,CH, BI? Yes._No Source (D:- BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodialysis & all others) Coliform PIA (Public supplies) Coliform MPN (priv well, raw, stp) Fecal Collform (ell samples). Microscopic Macroscopic APL _ Other: _ Retrigeratea? . - yeS nО Chforinated:?_yes _no Free Chiorine Res: _mg/L. Total Chlorine Res:. -mg/L pH RADIOCHEMICAL ANALYSIS Radon Other INORGANIC ANALYSIS REQUESTED - Lab#: Color Turbidity рH 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 Halldes Solids, Percent (%) Solids, Settleable Solids, Suspended Solids, Total eimintli Solids, Total Dissolved Solids, Total Volatile Other: Lab#: _ ORGANIC POTABLE ANALYSIS -Trihalomethanes (524) Volatile Halocarbons (524) Volatile Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticides/PCB screen (508) PCB as Decachforobiphenyl (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) Acidity Alkalinity _ Bromide _ Bromate/Chlorate/Chlorite - Chloride - Cyanide Fluoride -Hardness, Total as Cacos - Nitrogen, Ammonia as N Nitrogen, Nitrate as N - Nitrogen, Nitrite as N _ Nitrogen, Total Kjeldahl as N Oll and Grease Phenol Phosphorus Total as P Phosphorus, Ortho as P Sulfates Surfactants - UV254 -Aluminum - Antimony - Arsenic Barium Beryllium Boron Cadmium - Calclum, as CaCOs -Calcium, Ca*2 -Chromium, Total - Chromium, Hexavalent _ Cobalt -Copper - ron Lead Magnesium Manganese Mercury Molybdenum Nickel NYC-WTC_000075434 me NYS-ELAP No. 10108 Form A-70 (rev. 10/01) _Type Descriptor: Fax#: Check#: Amount$ ORGANIC NONPOTABLE/SOLID ANALYSIS - Purgeable Halocarbons (624/8260) - Purgeable Aromatics (624/8260) _ Acrolein & Acrylonitrile (8260) Organochlorine Pesticides (608/8081) - PCB's (Arochlors) (608/8081) Herbicidos (SM18/6630,8151) Other Pesticides (SM18/6630) - Petroleum Hydrocarbon Scan (310-13) - Glycols in Water - Actd Extractables (625/8270) - Base Neutral Extractables (625/8270) - GC/MS Unknown Scan -Phthalates (606MS) Other. _ Potassium - Selenium -Silver Sodium Thalllum Vanadium Zinc CLP - Metals/CN Volatiles - Semi-violatiles Pesticides/PCB's IGLP - TCLP-Metals - TCLP-Pesticides _TCLP-Herbicides - TCLP-Volatiles _ TOLP-BNA'S
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NYC-WTC_000075455
Westchester County Department of Labs and Research chain of custody form for a water sample.
13 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.989
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 0.983
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073316
Document recording the custody chain and handling details for samples submitted to the Westchester County Department of Labs and Research.
13 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.981
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 0.981
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 0.980
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000075399
Westchester County Department of Labs and Research chain of custody form for a water sample.
9 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.978
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074851
Chain of custody documentation for environmental samples transferred to the Westchester County Department of Labs and Research in Valhalla.
13 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.977
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074972
Form documenting the chain of custody for samples submitted to or received from the Westchester County laboratory.
12 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.977
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000074526
Chain of custody form for samples submitted to Westchester County Department of Labs and Research.
13 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.976
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 0.974
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000075409
Westchester County Department of Labs and Research chain of custody form for a water sample.
13 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.974
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000073075
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 0.974
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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NYC-WTC_000075455
Westchester County Department of Labs and Research chain of custody form for a water sample.
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Document recording sample chain of custody for the Westchester County Department of Labs and Research.
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Document recording the custody chain and handling details for samples submitted to the Westchester County Department of Labs and Research.
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