Chain of custody record, Westchester County Lab, Sep 2001

— 2 - WESTCHEG). COUNTY DEPARTMENT CHAIN OF CUSTODe .CORD / 2 K

3 O O OF LABS ee om ;

NAME & RESEARCH i _ co Lo b LABORATORY ADDRESS WESTCHESTER COUNTY VALHALLA, NEW YORK PAGE -

! 1111 o CD — U C O CONTACT CONTACT O

a o _______________ N CH O’ SAMPLING ANALYSES — COMMENTS -- 9 o'

LABORATORY SAMPLE PRESER- 9 I SAMPLE NO, SAMPLE NO. CATLEFF 22052 DATE TIME 13:30 TYPE fo+ahl — 2 VOA BNA PEST/ PCB METALS CN EOTTLES VATION — T it : (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) 0 o o /MmeqEo — 2 _________ m CRoGH 22053 9// 14:457 lofable — — — — a 649 — gR _____ — 00000000 ill! 6497 Det18 - 22654 4/4 hole . 1

— Bl! _—------------ Pdabr ----------------- - - ----------—— — *** - ---------------- fl ■ J • | we"egepe sEA.A2, 4/30 24zble ... —_ I - —— __ • 11 s 11 13 ; i Y-fable, = —--------------- — _______ — 9 - — —— US1S11 55 I. SAMM AND REI SIGN^® Y I. RECEIVED BY: - AxSIGN. p( ANALYSES/COMMENTS: IV. RELINQUISHED. BY: SIGN: IV. RECEIVED BY: SIGN: ANALYSES/COMMENTS: 111 PRINT: Seebo' A Hat PRINT: 6.2270 FIRM: DE P rirvv. . ,. PRINT: PRINT: FIRM:^ FIRM: .'i FIRM: lA DATE:O/17//TIME:/2140 TIME]2»4 DATE:;. TIME: DATE: ' TIME: ‘ -

II. RECEIVED BY: ANALYSES/COMMENTS. V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: »m SIGN: SIGN: SIGN: X: PRINT: FIRM: PRINT: FIRM: PRINT: FIRM: * mi l e RM., TIME: DATE: TIME: DATE: TIME- DATE: TIME: Hit .. I. RELINQUISHED BY: IIL RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS:* .9 SIGN: SIGN: SIGN: SIGN- PRINT: PRINT: PRINT: PRINT: FIRM FIRM: FIRM: FIRM: I i DATE: TIME: DATE: TIME: ■I DATE: r TIME: TIME: DATE: ■■ EVIDENCE SAMPLES TAMPERED WITH: g NO YESN/A SAMPLES DISPOSED OF ON: ill 00 s /ES EXPLAIN IN REMARKS BY:

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