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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_000025822
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Westchester County 10/2/01 7:46 page 37/170 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: CURCIONAGNER Sample Type: POT_DW Comment wtc attack 9/11/01, metals submitted PWSNa: Source Code: 000 in non-lab containers. Type Descriptor: Chilled on arrival?: YES Report To:

Sample No. AD22169 Method Test Description QC/MS Scan For Unknowns Results Units MDL Analyzed on Validator 1 Other unknown compounds 09/20/01 DLV

A scan of the extract prepared for the 508 analysis, from 35 - 550 amu using a mass spectrometer, does not reveal the presence of any non-target compounds.

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

Environmental Laboratories Copy of Fax 10/02/01 NYS ELAP # 10108 (914) 231-4620 Page 9 of 9

NYC-WTC_000025822

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NYC-WTC_000025822Source: NYC Law Department, mirrored locally

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