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Chain of custody record, handwritten notes, sample receipt documentation

Machine-extracted title · confidence 50%

Chain of custody form with handwritten field notes documenting sample receipt and handling procedures.

NYC-WTC_000025711–000025714

Folder label: “22470 - 22496”

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Scanned page image, NYC-WTC_000025713
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NYC 9/11 Public Portal Document

REPORT OF ANALYSIS Westchester County Department of Labs and Research 2 Dana Road Valhalla, New York 10595

@ency: NYCDEP Bureau Water Suppl Sample Location: NYC-DEP 465 Columbus Ave. 19 WEST LAKE DRIVE Valhalla, NY 10595 VALHALLA, N.Y. Sample Point: METALS BLANK Attention: Steve Schindler ID of Source: Received By: SV Collection Date: 9/13/2001 AT 12:00:00 Bottle No.: K7698,7699,7697 Submitted On: 9/14/2001 AT 12:58:00 Collected By: SUTTON/NEWMAN Sample Type: POT_DW Comment: PWS No.: Source Code: Type Descriptor: Sample chilled on arrival? : YES Report To:

Sample No. AD22477

Method Test Description Results Units MDL Analyzed on Validator Inorganics EPA94 200. Silver < MDL ug/L 20.0 9/18/2001 PAD

EPA94200.7 Aluminum < MDL ug/L 50.0 9/18/2001 PAD

SM183113 Arsenic <MDL ug/L 20 9/19/2001 PAD

“EPA94 200. Barium < MDL ug/L 200.0 9/18/2001 PAD

EPA94 200. Beryllium < MDL ug/L 2 9/18/2001 PAD

EPA94 200. Calcium <MDL ug/L 1000.0 9/18/2001 PAD

EPA94 200. Cadmium < MDL ug/L 2.0 9/18/2001 PAD

EPA94 200. Cobalt < MDL ug/L 20.0 9/18/2001 PAD

EPA94 200. Chromium <MDL ug/L 10.0 9/18/2001 PAD

EPA94 200. Copper < MDL ug/L 20.0 9/18/2001 PAD

EPA94 200. Iron < MDL ug/L 20.0 9/18/2001 PAD

EPA79 245. Mercury <MDL ug/L 0.40 9/18/2001 PAD

SM18 3111 Potassium < MDL ug/L 100.0 9/18/2001 PAD

Approved By: Pam Dilsizian QA Officer Date Approved: 9/21/2001

wavironmental Laboratories Original 9/21/2001 NYS ELAP #10108 (914) 593-5575 Page 1 of 2

NYC-WTC_000025713

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NYC-WTC_000025713Source: NYC Law Department, mirrored locally

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Sample submission form, Aug 2001 · Box DEP Box 19

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Form used to submit environmental water samples to Westchester County Laboratories with chain of custody documentation.

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Chain of custody record, Aug 2001 · Box DEP Box 19

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