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Document / 66 pages

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_000025839
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NYC 9/11 Public Portal Document

Westchester County 10/2/01 7:46 PAGE 54/170 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: CROGH#6326 Attention: Steve Schindler ID of Source: Received By: EP Collection Date: 09/12/01 AT 2:15:00 AM Bottle No.: crogh-#2 Submitted On: 09/11/01 AT 4:15:00 PM Collected By: CURCIONAGNER 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. AD22171 I Method Test Description Results Units 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 - 546.1 Endothal) <MDL ug/L 50 10/02/01 DLV EPA analysis 548.1 was performed by NYSDOH ELAP Laboratory # 10552. Dlouat - 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 NY6 ELAP «10108 ($14) 231-1620 Page 8 of 9

NYC-WTC_000025839

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NYC-WTC_000025839Source: NYC Law Department, mirrored locally

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