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 wov.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 Type (cirote one): 1.Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collected: .. Collected By:_ Collected From: Location's/Individual's Name Street city/SiZipm Identification of Source Collection Point. Agency Code: Bottle #'s: Chain of Custody? Comments: PWS#:_ Bill to: Name/Company Street_ City/St/Zip Phone#: Yes No Source ID:_ CA,CH, BI? BACTERIOLOGICAL ANALYSIS Lab#: Heterotrophic Plate Count (hemodialysis & all others) - Colifom PIA (Public supplies) _ Coliform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic Macroscopic API _Othor:. Retrigerated? _yes—no Chlorinated:7 →yeS.en0 Free Chlorine Res: _mg/L Total Chlorlne Res:. _mg/l pH RADIOCHEMICAL ANALYSIS _Radon Other Lab#:, ORGANIC POTABLE ANALYSIS Trihalomethanes (524) Volatile Halocarbons (524) Volatlle Aromatics (524) Total Trihalomethane Potential (510) Microextractables (504) Pesticidos/PCB screen (508) PCB as Decachlorobipheny! (508A) Herbicides (515) Pesticides (525) Carbamate Pesticides (531) _Glyphosate (547) Diquat (549) Chlorination Disinfection Byproduets (551) Haloacetic Acids (552) Other Pesticides (SM18/6630) -UCMR List 1 MIBE Only (524) INORGANIC ANALYSIS REQUESTED - Lab#: - Color Turbidity pH Conduetivity Corrosivity (temp!_ °C) BOD (5 day) Carbonaceous BOD (5 day.) Soluble BOD (5 day) Chemical Oxygen Demand Dissolved Oxygen Total Organic Carbon Total Organic Halides Sollds, Percent (%), Solids, Settleable Solids, Suspended Solids, Total Solids, Total Dissolved Solids, Total Volatile -Other:. - Acidity Alkalinity Bromide indoticais 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 - Oil and Grease Phenol iniidicadis: Phosphorus Total as P Phosphorus, Ortho as P Sulfates Surfactants UV254 - Aluminum - Antimony - Arsenic - Barium - Berylllum - Boron -Cadmium Oalcium, as CaCOs _ Calcium, Ca*2 ,Chromium, Total E Chromium, Hoxavalent -Cobalt - Copper -Iron - Leaa Magnesium Manganese —Mercury _ Molybdenum Nickel NYC-WTC_000075435 ne NYS-ELAP No. 10108 Form A-70 (rev: 10/01) _Type Descriptor: Fax#f: Check#:. Amounts ORGANIC NONPOTABLE/ SOLID ANALYSIS - Purgeable Halocarbons (624/8260) - Purgeable Aromatios (624/8260) - Acrolein & Acryionitrile (8260) Organochforine Pesticides (608/8081) PCB's (Arochiors) (608/8081) Herblcides (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 _ Phtnalates (606MS) _ Other w Potassium _ Selenium w Silver -Sodium - Thallium _ Vanadium _ Zine SLP - Metals/CN , Volatiles - Semi-violatiles - Pesticides/PCB's ICLP -TCLP-Metals -TCLP-Posticides _TCLP-Herbicides -TCLP-Volatiles TCLP-BNAS 1
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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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