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Document / 31 pages

Chain of custody record, Aug 2001

Machine-extracted title · confidence 90%

Record documenting the chain of custody for samples submitted by New York City DEP to Westchester County Department of Labs.

NYC-WTC_000025843–000025873

Folder label: “22358 - 22360”

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Scanned page image, NYC-WTC_000025843
OCR text

OCR status: ok · source: pdftotext

2 2 - wESTC i ER COUNTY DEPARTMENT CHAIN OF cusTOM RECORD - O O 2 OF LABS & RESEARCH PAGE OF co _s

o "0 1 o o SDG# New York Gty DEP- —alo LABORATORY WESTCHESTER COUNTY C O o NAME ADDRESS VALHALLA, NEW YORK o' o N CONTACT CONTACT ______________________ "0 CH o 00 — SAMPLING ANALYSES SAMPLE 0 c LABORATORY PEST/ #OF PRESER- ——comments o SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) o Q 2230% C DEL IX Alialol 17:10 Potable 3 CD

223S1 CATLEFr ^HS Notable 22.2 -02 722,0 COG H 0/2101 18:45 Polble

1. SAMPLED ANDRLINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:7. Keo-4-0- SIGI SIGN: SIGN: PRINT:D.W. Ko sor PRII oSO PRINT: PRINT: FIRM:N/C-DEt ririvi. FIRM: VhvrE - FIRM: FIRM: DATE:0/3]o\ TIME: IIS DATE:4 113 / TIME I/9 DATE: TIME: DATE: TIME: II. RELINQUISHED BY: II. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: FIRM: FIRM: DATE:’ TIME: DATE: TIME: DATE: TIME: DATE: TIME: III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: FIRM: FIRM: DATE: TIME: DATE: TIME: DATE: TIME: DATE: TIME:

EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON:

IF YES EXPLAIN IN REMARKS BY:

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NYC-WTC_000025843Source: NYC Law Department, mirrored locally

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