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Chain of custody record, Westchester County Lab, Sep 2001

Machine-extracted title · confidence 90%

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

NYC-WTC_000026260–000026267

Folder label: “23079

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Scanned page image, NYC-WTC_000026260
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OCR status: ok · source: pdftotext

Z Z - WESTCOTER COUNTY DEPARTMENT CHAIN OF CUSTOO RECORD PAGE / - O o 2 OF LABS & RESEARCH CD — 1 o SDG# _ LABORATORY WESTCHESTER COUNTY “O o C o o NAME DUCNE ADDRESS VALHALLA. NEW YORK O o CONTACT__________ _ CONTACT o' N "0 CD SAMPLING ANALYSES o N — O. o LABORATORY -------- SAMPLE PEST/ PRESER- COMMENTS 0 SAMPLE NO. SAMPLE NO/ DATE TIME TYPE VOA SNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC) o o 23 FEMEEEM 7 is” Q C 3 $5% 2300 I2D/o/ CD

/52S0 28373/230%t 4^4 lot (049 200S0 28376 232 H{7P T T SOSSO 2532% 2308 28 o/ 2301 (03/ 573SD 2-81= KoKLXSM +

I. SAMPLED ANDRELINQ. BY 1. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: PRINT: „Tl&cAo FIRM: y.6.., -----C - SIGN-e.lone FIRM: (2 SIGN: PRINT: FIRM: SIGN: PRINT: FIRM: DATF9/2oo/ TIME:/OrS DATE 1/20/01 TIMEJo:s57 DATE: 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: 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_000026260Source: 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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