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Chain of custody record, handwritten notes, sample receipt documentation

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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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NYC 9/11 Public Portal Document

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

Gency: 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 EPA94 200. Magnesium <MDL ug/L 1000.0 9/18/2001 PAD

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

EPA94 200. Molybdenum < MDL ug/L 50.0 9/18/2001 PAD

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

A94 200. Nickel < MDL ug/L 20.0 9/18/2001 PAD

SM18 3113 Lead < MDL ug/L 1.0 9/21/2001 PAD

EPA79 4.1. Potable Metals Digestion Completed 9/18/2001 PAD

EPA94 200. Antimony < MDL ug/L 50.0 9/18/2001 PAD

SM18 3113 Selenium < MDL ug/L 2 9/17/2001 PAD

SM18 3113 Tin < MDL ug/L 100 9/17/2001 PAD

SM18 3113 Titanium <MDL ug/L 100 9/19/2001 PAD

EPA94 200. Thallium <MDL ug/L 2 9/20/2001 PAD

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

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

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

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

NYC-WTC_000025714

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NYC-WTC_000025714Source: NYC Law Department, mirrored locally

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