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Document / 15 pages

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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Scanned page image, NYC-WTC_000025876
OCR text

OCR status: ok · source: pdftotext

2 2 - O 2 WESTC M R COUNTY DEPARTMENT OF LABS & RESEARCH CHAIN OF CUSTO RECORD PAGE @, - O co _s

o SDG# _ LABORATORY WESTCHESTER COUNTY “0 1 C o o o NAME NC OP ADDRESS VALHALLA, NEW YORK O o CONTACT ___________ CONTACT o N “0 CH SAMIPLING ANALYSES o 00 — o) LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS 0 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) O 3 Sobb/3tS- o Q wo 11A2s7 C 3 afcou/3-sSo CD

EM—EL-I

1. SAMPLED AND RELINQ. BY 1. RECEJVEDBY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN/AYe79 SIGN: M7 SIGN: SIGN: PRINT: /7Alor2/ PRINT: Moo PRINT: PRINT: ) FIRM: ACPEP FIRM: UK. FIRM: FIRM: DATE2/G0/ TMF93 PATE9o/o.TIMEqise DATE: TIME: DATE: TIME: 11. 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_000025876Source: 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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