Rifkin committed his first murder in 1989, killing Heidi Balch in his home in East Meadow. He then dismembered her body, removing her teeth and fingertips, putting her head in a paint can which he left in the woods on a golf course in Hopewell, New Jersey, disposing of her legs farther north, and then dumping her remaining torso and arms into the East River around New York City. On March 5, 1989, Balch's severed head was discovered on the seventh hole of the golf course. On April 8, 1989, Balch's legs were found in Pequonnock Creek near Jefferson Township, New Jersey. A blood test just a few weeks later revealed the presence of HIV. Balch's remains were not identified until 2013.