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Sample submission form, Aug 2001

Machine-extracted title · confidence 90%

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

NYC-WTC_000025775–000025840

Folder label: “22166 - 22171

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Scanned page image, NYC-WTC_000025819
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NYC 9/11 Public Portal Document

Westchester County 10/2/01 7:46 PAGE 34/170 RightFAX

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

Agency: NYCDEP Bureau Water Supply DW Sample Location: NYC DEP - KENSICO LAB 465 Columbus Ave. 19 WESTLAKE DR Valhalla, NY 10595 VALHALLA, NY Sample Point: DEL18 #6322 Attention: Steve Schindler ID of Source: Received By: EP Collection Date: 09/12/01 AT 1:00:00 AM Bottle No.: del18 - #2 Submitted On: 09/11/01 AT 4:15:00 PM Collected By CURCIOMAGNER Sample Type: POT_DW Comment wtc attack 9/11/01, metals submitted PWSNo.: Source Code: 000 in non-lab containers. Type Descriptor: Chilled on arrival?: YES Report To:

Sample No. AD22169 Method Test Description Results Units MDL Analyzed on Validator 524.2 Chlorobenzene <MDL ug/L .5 09/13/01 SV 524.2 Chloroethane < MDL ug/L .5 09/13/01 SV 524.2 Chloromethane < MDL ug/L .5 09/13/01 SV 524.2 cis-1,2-dichlorethene < MDL ug/L .5 09/13/01 SV 524.2 cis-1,3-dichloropropene < MDL ug/ .5 09/13/01 SV 524.2 Dibromomethane <MDL ug/L .5 09/13/01 SV 524.2 Dichlorodifluoromethane < MDL ug/L .5 09/13/01 SV 524.2 Ethylbenzene <MDL ug/L .5 09/13/01 SV 524.2 Hexachlorobutadiene < MDL ug/L .5 09/13/01 SV 524.2 Isopropylbenzene < MDL ug/L .5 09/13/01 SV 524.2 Methyl iso-butyl ketone (MIBK) < MDL ug/L 1.0 09/13/01 SV 524.2 Methyl tert-butyl ether (MTBE) < MDL ug/ 1.0 09/13/01 SV 524.2 Methylene Chloride < MDL ug/ .5 09/13/01 SV 524.2 N-butylbenzene < MDL ug/L .5 09/13/01 SV 524.2 N-propylbenzene < MDL ug/L .5 09/13/01 SV 524.2 Naphthalene < MDL ug/L .5 09/13/01 SV 524.2 O-xylene < MDL ug/L .5 09/13/01 SV 524.2 P & M-xylene < MDL ug/L .5 09/13/01 SV 524.2 P-Isopropyltoluene < MDL ugi .5 09/13/01 SV 524.2 SEC-butylbenzene < MDL ug/L .5 09/13/01 SV 524.2 Styrene < MDL ug/L .5 09/13/01 SV 524.2 TERT-butyl benzene < MDL ug/L .5 09/13/01 SV

Approved By: Pam Dilsizian QA Officer Date Approved: 10/02/01

Environmental Laboratories Copy of Fax 10/02/01 NYS ELAP # 10108 (914) 231-1820 Page 6 of 9

NYC-WTC_000025819

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NYC-WTC_000025819Source: NYC Law Department, mirrored locally

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