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Document / 36 pages

Chain of custody form, Sep 2001

Machine-extracted title · confidence 85%

Document tracking sample custody for the Westchester County Department of Labs & Research.

NYC-WTC_000026018–000026053

Folder label: “22752 - 22762”

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Scanned page image, NYC-WTC_000026032
OCR text

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NYC 9/11 Public Portal Document

Westchester county 9/27/01 10:43 page 39/622 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: NYCDEP 465 Columbus Ave. 19 WEST LAKE DRIVE Valhalla, NY 10595 VALHALLA, N.Y. Sample Point: DEL 18-6694 Attention: Steve Schindler ID of Source: Received By: KM Collection Date: 9/17/2001 AT 12:30:00 P Bottle No.: del18 6694 Submitted On: 9/18/2001 AT 9:12:00 A Collected By: RC/DS Sample Type: POT_DW Comment: PWS No.: Source Code: 000 Type Descriptor: Chilled on arrival?: YES Report To:

Sample No. AD22752 | Method Test Description Results Units MDL Analyzed on Validator 524.2 Tetrachloroethene < MDL ug/L J 9/19/2001 SV 524.2 Toluene <MDL ug/L .5 9/19/2001 SV 524.2 trans-1,2-dichloroethene <MDL ug/L .5 9/19/2001 SV 524.2 trans-1,3-dichloropropene <MDL ug/L .5 9/19/2001 SV 524.2 Trichloroethene <MDL ug/L .5 9/19/2001 SV 524.2 Trichlorofluoromethane <MDL ug/L .5 9/19/2001 SV 524.2 Vinyl chloride <MDL ug/L .5 9/19/2001 SV

Stat charge for VOLATILE organic te Completed 9/20/200111:31 AM SV

Approved By: Date Approved: 1/1/1981

Environmental Laboratories Original Fa/27/2001 NYS ELAP # 10108 (914) 231-1820 Page 6 of 6

NYC-WTC_000026032

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NYC-WTC_000026032Source: NYC Law Department, mirrored locally

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Sample submission form, Aug 2001 · Box DEP Box 19

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

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