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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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NYC 9/11 Public Portal Document

Westchester County 9/27/01 10:43 PAGE 42/622 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: CRO1B-6695 Attention: Steve Schindler ID of Source: Received By: KM Collection Date: 9/17/2001 AT 2:25:00 P Bottle No.: cro1b6695 Submitted On: 9/18/2001 AT 9:12:00 A Collected By: RC/DS Sample Type: POT_DW Comment: PWSNo.: Source Code: 000 Type Descriptor: Chilled on arrival?: YES Report To:

Sample No. AD22753 Method Test Description Results Units MDL Analyzed on Validator Stat charge for ICP Completed 9/21/2001 4:17 PM

SM18 3113 Titanium < MDL ug/L 100 9/21/2001

EPA94200. Thallium <MDL ug/L 2 9/20/2001

EPA94 200. Vanadium < MDL ug/L 20.0 9/21/2001

EPA94 200. Zinc <MDL ug/L 20.0 9/21/2001 Organics Volatile Omanic Compounds 524.2 ‘THM-Bromodichloromethane <MDL ug/L .5 9/19/2001 SV 524.2 *THM-Bromoform <MDL ug/L 2.0 9/19/2001 SV 524.2 "THM-Chloroform <MDL ug/L .5 9/19/2001 SV 524.2 "THM-Dibromochioromethane < MDL ug/L 2.0 9/19/2001 SV 524.2 1,1,1,2-tetrachloroethane <MDL ug/L .5 9/19/2001 SV 524.2 1,1,1-trichloroethane <MDL ug/L .5 9/19/2001 SV 524.2 1,1,2,2-tetrachloroethane <MDL ug/L .5 9/19/2001 SV 524.2 1,1,2-trlchloroethane < MDL ug/L .5 9/19/2001 SV 524.2 1,1-dlchloroethane <MDL ug/L .5 9/19/2001 SV 524.2 1,1-Dichloroethene <MDL ug/L .5 9/19/2001 SV 524.2 1,1-dichloropropene <MDL ug/L .5 9/19/2001 SV

Approved By: Date Approved: 1/1/1981

Environmental Laboratories Original Fax/27/2001 NY6 ELM* P 10108 (914) 231-1620 Page 3 of 6

NYC-WTC_000026035

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NYC-WTC_000026035Source: NYC Law Department, mirrored locally

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