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Chain of custody record, Westchester County Lab, Sep 2001

Machine-extracted title · confidence 95%

Document tracking sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.

NYC-WTC_000025875–000025889

Folder label: “22542 - 22558

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2 2 K WESTCETER COUNTY DEPARTMENT CHAIN OF CUST RECORD - O OFLABSWRESEARCH PAGE F s o

o SDG# _ LABORATORY WESTCHESTER COUNTY co — “0 I o NAME WcDEP ADDRESS VALHALLA. NEW YORK C O o CONTACT __________ CONTACT ______________________ o' o o U N SAMPLING ANALYSES o CH LABORATORY SAMPLE PEST/ #OF PRESER- — 00 COMMENTS 0 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) CH Sgonl 374s o o woladdes) 38081/ 3239, o C 3 CD ( a eLs) Do/ 2SSSe

2ss9/ 3oSo f insis) 2Sot0/3osS0 (oWis) 39001/33So 201725) 2%o/btSo 38067/ 31350

>61/ 21850

2863/305.

MBLEDJV4DREUNQ. BY L RECENICDBY: I. SAMI ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: ILcefleec-7e-Gek SIGN:'! SIGN: SIGN: PRINTAATTTaIG# PRINT:' PRINT: PRINT: A/YCDe7V FIRM:1; NYC Del FIRM: L FIRM: FIRM: DATEZ/n/o/ TIMEO720 DATEO/n TME9»e DATE: TIME: DATE: TIME: 11. RELINQUISHED BY: 11. 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_000025875Source: NYC Law Department, mirrored locally

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Sample submission form, Sep 2001 · Box DEP Box 19

NYC-WTC_000025975

Chain of custody form for samples submitted to Westchester County Laboratories in September 2001.

11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.996

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Record documenting sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.

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