Chain of custody record, Westchester County Lab, Sep 2001

z _ ________ — - p rnann NESTCHMD COUNTY DEPARTMENT CHAIN OF CUSTOD@._CORD ■——A ' -J 2 - PAGE / o § OF LABS & RESEARCH

0 SDG# _EWeKensico -—- ------------------ Lo D LABORATORY WESTCHESTER COUNTY 2 y 1 NAME CONTACT _____ ADDRESS CONTACT VALHALLA, NEW YORK __________ CT

4 — 0 ------------ ------ —ANALYSES U S SAM LING #OF PRESER- LABORATORY --------- LE NO. SAMPLE NO. DATE TIME SAMPLE TYPE VOA • " BNA PCB PEST/ T METALS CN ** i S2c BOTTLES VATION COMMENTS — (SPECIAL INSTRUCTIONS. CAUTIONS, ETC) 8 A moue-”** /3:38 folahle AT 11 8 ! 1 ___________ — —_ ______________ _______ - 0001lllll/29/53 W4:43 fofable § I ■ — ---------- — _________ --------- - Det(8 20 / G4/ I/1 Pfble - — --------- — ...1 a — ----------— — d -....... m." Cayhef 2255 0116 PHabl2. Z 071090* (549 - — . _ ___ — fllil: De I /8 22657. /4: 30 P+ahle ~ 1 909 - — _— ■B n 6 50 — _______ — .— G.6H 22050 9/6 R+5— — 1 . •■■is:: ss/ _________ _ z —______ ——— _ — ——— X o / p 00098 -======= *===================== 1 I- SAMPLED AND RELINO/BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:SPnenee)-17 ‘SIGN—P p( SIGN: SIGN: PRINT Bkebon ■ <0 Han PRINT: &. len) PRINT: PRINT: FIRM: DE P FIRM:* FIRM:-— FIRM: ' : FIRM: DATE:Al7h/ TIME/2140 DATEa// TIMF2:4 DATE: TIME: DATE: TIME:

11. RELINQUISHED BY: IL RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN : I / SIGN: Olli® PRINT: PRINT: PRINT: PRINT: — FIRM: FIRM: FIRM: FIRM: DATETIME DATE: TIME: DATE: TIME: DATE: TIME:

I. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS/ 9 SIGN: SIGN: SIGN: Si: PRINT: PRINT: PRINT: Illi FIRM: DATE: TIME: FIRM::: DATE: TIME: FIRM: DATE: TIME: FIRM: DATE: TIME: 0

NO YES N/A SAMPLES DISPOSED OF ON: III EVIDENCE SAMPLES TAMPERED WITH: 6 FYESEXPLAININ REMARKS ============================================================== —. 2 0//— i At 95 U BY:

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