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Chain of custody form, Sep 2001

Machine-extracted title · confidence 85%

Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs & Research.

NYC-WTC_000026203–000026258

Folder label: “22974

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Scanned page image, NYC-WTC_000026203
OCR text

OCR status: ok · source: pdftotext

2 -------- --- - :--- — 2 K - o WESTCHEOTER COUNTY DEPARTMENT CHAIN OF CUSTOE RECORD O 2 OF LABS & RESEARCH PAGE t OF___ CD — o “O 1 o o o o N SDG# NAME CONTACT PerSico Rz —P LABORATORY WESTCHESTER COUNTY ADDRESI CONTACT VALHALLA, NEW YORK __________________ ______ C O o “0 O. o N o --------------------------SAMrow ----------------------ANALYSES------#OF COMMENTS — 0 CD LABORATORY­ SAMPLE PESTL SCP •PRESER­ SAMPLE NO SAMPLE NO. DATE TIME TYPE Yo VOA BNA PCB METALS CN 525 -BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC.) O o CATLEFF __________ 22004 2l1%/0/ Q C 3 Del 19 ((slo/ /30o L. CD

Ove 13 Qli8lol 1000

XARFRYRZnu? I. SAMPLED AND REL) SIGN: R NTZMaqnvsmn Hill PRINT: SHohanePre- ■PRINT:L.Maq ANALYSES/COMMENTS: iilllillltl IV. RELINQUISHED. BY: SIGN: IV. RECEIVED BY: ' SIGN: ANALYSES/COMMENTS:

FIRM: Ken Sico —o , Ppaat ** FIRM:Uh u PRINT FIRM:;; PRINT: • FIRM: DATE:@h4/0/ TIME:/3S DATEq]aloTIME:113S e 000 SATE TIME: : DATE: TIME:

II. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: FIRM: PRINT: FIRM: _mmemmu FIRM: PRINT: 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: 1mm FIRM: FIRM: FIRM: FIRM: DATE: TIME: DATE: TIME: ■ DATE: TIME: DATE: TIME:

30r DLE9 -A NOEPFp WTH:NO_YES_NA SAMPLES DISPOSED OF ON: I997————m9mWWBY20

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NYC-WTC_000026203Source: NYC Law Department, mirrored locally

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Chain of custody form, Sep 2001 · Box DEP Box 19

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

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machine-extracted · confidence unavailable · Check page ↗
Chain of custody record, Aug 2001 · Box DEP Box 19

NYC-WTC_000025843

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

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