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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”

Page image
Scanned page image, NYC-WTC_000026207
OCR text

OCR status: ok · source: pdftotext

- _ 2 2 ' *--------- - K K O WESTCHGDERCOUNTY DEPARTMENT CHAIN OF CUSTOM ECORD O CD

2 OF LABS & RESEARCH :" IE —9999 PAGE —

o "0 1 o SDG# _ LABORATORY WESTCHESTER COUNTY C O o o NAME NYCDERBarofUOakrSurO ADDRESS VALHALLA. NEW YORK__ o' o N CONTACT eRitoLA CONTACT _________________________ o U O. N —SAMPLING —590000 ANALYSES — 0 o LABORATORY SAMPLE ' o PEST7 SoC #OF PRESER- —COMMENTS SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN -s25 BOTTLES VATION (SPECIAL INSTRUCTIONS,CAUTIONS, ETC.) O o QFLeCC Qlqlol O600 0o-uQ Meyan o C 3 : == CD

e 1< 220778 01190/ 2-80 20hll

o 1 B 9lAv 20 1

I SAMPLED AND RELING BY -L RECIEVEDBY: r ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS SIGN: le=pranudrUAu SIGN SIGN. X8— SIGN: SIGN: : "7//81/999 PRINT.SL-planS ' PTPRINT: FIRM: Ks So keb .....:.MEwnVSO) FIRM: U ( 0 . PRINT: FIRM:. ’ PRINT: FIRM: DATE: Al9/0/TIME: H 38 DATE: a 9/0/TIME://38) DATE:,' TIME: DATE: TIME: 0 y e 11. RELINQUISHED BY; II. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: IPRINT: PRINT: FIRM: FIRM: FIRM: FIRM: DATE: , TIME: DATE: TIME: . DATE: TIME: DATE: ; TIME: e III. RELINQUISHED BY: 'll. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI, RECEIVED BY; ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: PRINT- JR 0/59 FIRM; FIRM: FIRM: FIRM: DATE: ",E: DATE: TIME: DATE: TIME DATE: TIME: - _ PLES TAMPERED WITH:____ NO____ YES N/A SAMPLES DISPOSED OF ON: 005 ja5 . 5mm 9900 : : 2 r YES EXPLAIN IN REMARK "Y i ( ——0//

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NYC-WTC_000026207Source: 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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machine-extracted · confidence unavailable · Check page ↗

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