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 Tov.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 (cirde one): 1. Potable• 3. Non Potable Treated 2. Non Potable 4, Othor Time/Date Collected: Collected By:- Collected From: Location's/Individual's Name Street_ City/SV/Zip Identification of Source Colloction Point_ Agency Code:. Bottle #s L- Chain of Custody? Yes__No Comments: PWS#:_ Source ID:. Bill to: Name/Company Street_ City/SVZip. Phone#t: - CA,CH, BI? BACTERIOLOGICAL ANALYSIS Lab#: - Heterotrophic Plate Count (hemodialysis & all others) Coliform PIA (Pubiie supplies) Coliform MPN (prív well, raw, stp) Fecai Coliform (all samples) Microscopic Macroscopic APL Other; Retrigerated? - -y0s no Chlorinated:? _ yes. no Free Chlorine Res:_ _mg/L Total ChiorineRes: _ mg/L pH RADIOCHEMICAL ANALYSIS Radon Other_ - Color - Turbidity - рH iwatnincis: .Conductivity sming Corrosivity (temp: _°C) BQD (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 siminris Solids, Suspended Solids, Total Solids, Total Dissolved Solids, Total Volatile Other: Lab#: ORGANIC POTABLE ANALYSIS -Trhalomethanes (524) J Volatile Halocarbons (524) Volatile Aromatics (524) - Total Trihalomethane Potential (610) Microextractables (504) -Pesticides/PCB screen (508) PCB as Decachlorobiphenyl (508A) Herbicides (515) Pesticides (525) Carbamate Pesticides (531) Glyphosate (547) -Diquat (549) Chiorination Disinfection Byproducts (551) Haloacetic Acids (552) Other Pesticides (SM18/6630) UCMR List 1 -MIBE Only (524) INORGANIC ANALYSIS REQUESTED - Lab#: _ Acidity w Alkalinity - Bromide _ Bromate/Chlorate/Chiorite .Chloride _ Cyanide Fluoride - Hardness, Total as CaCOs saicitkio Nitrogen, Ammonia as N - Nitrogen, Nitrate as N - Nitrogen, Nitrite as N - Nitrogen, Total Kjeldahl as N _ Oil and Grease Phenol _ Phosphorus Total as P Phosphorus, Ortho as P Sulfates Surfactants _ UV254 Aluminum -Antimony wf:Arsenic -Barium J Beryllium - Boron Cadmium — Calcium, as CaCOs Calcium, Ca+z 1Chromium, Total -Chromium, Hexavaient L-Cobalt Copper Etion Itead - Magnesium Manganese _.Mercury Molybdenum - Nickel NYC-WTC_000075460 JEN IN GOOND NYS-ELAP No: 10108 Form A-70 (rev.10/01) _Type Descriptor:, Fax#: Check#: Amounts ORGANIC NONPOTABLE/SOLID ANALYSIS - Purgeabie Halocarbons (624/8260) - Purgeable Aromatics (624/8260) - Acrolein & Acrylonitrile (8260) - Organochlorine Pesticides (608/8081) - PCB's (Arochlors) (608/8081) _ Herbicides (SM18/6630,8151) - Other Pesticides (SM18/6630) - Petroleum Hydrocarbon Scan (310-13) Glycols in Water - Acid Extractables (625/8270) . Base Neutral Extractables (625/8270) 26C/MS Unknown Scan _ Phthalates (606MS) _ Other: - Potassium -Selenium Silver Sodium ricThallium _ Vanadlum IZinc - Metals/CN - Volatiles - Semi-violatiles - Pesticides/PCB's ICLP -TCLP-Metals -TCLP.Pesticides *TCLP-Herbicides - TCLP-Volatiles -TCLPBNAS
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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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