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Document / 36 pages

Chain of custody form, Sep 2001

Machine-extracted title · confidence 85%

Document tracking sample custody for the Westchester County Department of Labs & Research.

NYC-WTC_000026018–000026053

Folder label: “22752 - 22762”

Page image
Scanned page image, NYC-WTC_000026018
OCR text

OCR status: ok · source: pdftotext

2 ____________ ________________ _____ ------------ 2 - - o 2 WESTCHNWDER COUNTY DEPARTMENT OF LABS & RESEARCH CHAIN OF CUSTO RECORD — •7 PAGE / OF__ ( o co — O U 1 SDG# S LABORATORY WESTCHESTER COUNTY o o o NAME MVC. DEP -ensido Aosk ADDRESS VALHALLA, NEW YORK C O o' o N CONTACT CONTACT ___________________ _____ "0 O. o o SAMPLING ---ANALYSES #OF PRESER- -------- COMMENTS—_ — 0 00 LABORATORY SAMPLE —pEW SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) O o o De l I 8 22. 52 9j/0) /236 •/ C

_60— 3 CD

Cay Lest—1 22754 A(1/o/ 093 C LB 72-75 7//1/0/ __ LlOS

1. SAMPLED AND RELINQ, BY RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:&&/A*lAa GN __ SIGN: SIGN: PRINTSphave JR PRINT/USMM . . 02/ PRINT:,. PRINT:

9/13/0 dePWSFIRM: DATE MC, FIRM: Lh l .‘S FIRM: DATE! . ? FIRM: / TIME: 92s DATE:a/:8/o/TIME:Q TIME: DATE: TIME: - ---------------- 11. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN- :' ya , ee PRINT: PRINT: 009555** PRINT: PRINT: FIRM: FIRM: DATE: . TIME. FIRM: DATE: TIME: m nd FIRM: DATE: TIME: DATE: TIME:

HI. RELINQUISHED BY; III. RECEIVED BY: VI. RELINQUISHED BY: ANALYSES/COMMENTS: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: — SIGN: ( SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: m FIRM: FIRM: FIRM: DATE: TIME DATE: TIME: DATE: TIME­ DATE: TIME: tm EVIDENCE SAMPLES TAMPERED WITH:____ NO_____ YES____ N/A 9 SAMPLES DISPOSED OF ON:_____________________

IF YES EXPLAIN IN REMARKS BY:

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NYC-WTC_000026018Source: NYC Law Department, mirrored locally

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