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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_000025821
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NYC 9/11 Public Portal Document

Westchester County 10/2/01 7:46 PAGE 36/170 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 wte 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 Unite MDL Analyzed on Validator Metribuzin < MDL ug/L 0.15 09/12/01 DLV Molinate < MDL ug/L 0.90 09/12/01 DLV Simazine < MDL ug/L 0.07 09/12/01 DLV Terbacil < MDL ug/L 2.0 09/12/01 DLV The recovery for Terbacil in the LCS Standard was above Its acceptance range. Carbamate Pesticides - 531.1 3-Hydroxycarbofuran < MDL ug/L 2.0 09/18/01 DLV Aldicarb < MDL ug/L 1.0 09/18/01 DLV Aldicarb sulfone <MDL ug/L 2.0 09/18/01 DLV Aldicarb sulfoxide < MDL ug/L 2.0 09/18/01 DLV Carbaryl < MDL ug/L 2.0 09/18/01 DLV Carbofuran < MDL ug/L 1.5 09/18/01 DLV Methomyl < MDL ug/L 0.50 09/18/01 DLV Oxamyl <MDL ug/L 2.0 09/18/01 DLV Glyphosate - 547 Glyphosate <MDL ug/L 6.0 09/14/01 DLV Recovery for the MDL Standard was below its acceptance range. Endothall-548.1 Endothall < MDL ug/L 50 10/02/01 DLV EPA 548.1 analysis was performed by NYSDOH ELAP Laboratory # 10552. Diquat - 549.2 Diquat < MDL ug/L 2.0 09/17/01 DLV

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 8 of 9

NYC-WTC_000025821

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