Westchester County Department of Labs and Research chain of custody form for a water sample.
NYC-WTC_000075455–000075460Folder label: “AE 06588”
OCR status: ocr · source: ours
NYC 9/11 Public Portal Document Westchester Povcom 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 (cirde one): 1. Potable 3. Non Potable Treated 2. Non Potable 4. Other Time/Date Collecte : Collected By- Collocted From: Location's/Individual's Name Street City/StZip Identification of Source . Collection Point Agency Code: - Bottle #'s: Chain of Custody?YesNo Comments: PWS# Source ID:. Bill to: Name/Company Street City/SVZip. Phoneft: _ CA,CH, BI2 BACTERIOLOGICAL ANALYSIS Lab#: -Heterotrophic Plate Count (hemodialysis & all others). - Collform PIA (Public supplies) _ Colfform MPN (priv well, raw, stp) Fecal Coliform (all samples) Microscopic Macroscopic API w. Other: Refrigerated? wк os wainmeu nо Chlorinated:? _ yes n0 Free Chiorine Res. _ mg/L. Total Chlorine Res:... w.mg/L pH RADIOCHEMICAL ANALYSIS Radon Other Lab#:. ORGANIC POTABLE ANALYSIS _Trihalomethanes (524) Volatile Halocarbons (524) Volatile Aromatios (524) Total Trihalomethane Potential (510) Microextractables (504) Posticides/PCB screen (508) PCB as Decachlorobiphenyi (508A) Heroicides (515) Pesticides (525) Carbamate Pesticides (531) ,Glyphosate (547) Diquat (549) Chiorination Disinfection Byproducta (551) Haloacetic Acids (552) Other Pesticides (SM18/6630) UCMR List 1 - MIBE Only (524) INORGANIC ANALYSIS REQUESTED - Lab#: _ Color Turbidity pH Conductivity Corrosivity (emp °C) BOD (5 day) Carbonaceous BOD (5 day) Soluble BOD (5 day) Chemical Oxygen Demand Dissolved Oxygen Total Organic Carbon Total Organic Halides Solids, Percent (%) Solids, Settleable Solids, Suspended Solids, Total Solids, Total Dissolved Sollds, Total Volatile Other: Acidity F Aikalinity Bromide Bromate/Chlorate/Chiorte Chloride -w Cyanide Fluoride _ Hardness, Total as CaCOa Nitrogen, Ammonía 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 m UV254 wwAluminum Antimony Arsenic Barium Beryllium Boron Cadmium Calcium, as CaCOs Calclum, Ca*2 Chromium, Total Chromium, Hexavatent - Cobalt -Copper _Iron Lead Magnesium . Manganese Mercury - Molyadenum Nickel NYC-WTC_000075457 Satbi Tte 1 e6ee nenc 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) - Organochiorine Pesticides (608/8081) PCB's (Arochiors) (608/8081) Herbicides (SM18/6630,8161) Other Pesticides (SM18/6630) Petroleum Hydrocarbon Scan (610-13) Glycols In Water Acid Extractables (625/3270) Base Neutral Extractables (625/8270) .GC/MS Unknown Scan Phthalates (606MS) Other: _ Potassium Selenium .Silver w Sodium mono Thaillum Vanadium Zing CLP Metais/CN , Volatiles _ Semi-violatiles →Pesticides/PCB's ICLP —TCLP-Metals TCLP-Pesticides -TCLP-Herbicides TCLP-Volatiles TCLP-BNAS
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NYC-WTC_000075432
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 0.984
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000072973
Form documenting the custody chain for samples sent to the Westchester County Department of Labs and 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_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 0.980
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 0.980
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 0.979
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 0.979
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 0.979
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 0.978
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 0.978
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 0.977
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 0.976
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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NYC-WTC_000075432
Westchester County Department of Labs and Research chain of custody form for a water sample.
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NYC-WTC_000072973
Form documenting the custody chain for samples sent to the Westchester County Department of Labs and Research.
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