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Chain of custody record, Westchester County Lab, Sep 2001

Machine-extracted title · confidence 95%

Document tracking the chain of custody for environmental samples submitted to the Westchester County Department of Labs & Research.

NYC-WTC_000026323–000026349

Folder label: “23123

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Scanned page image, NYC-WTC_000026323
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—____ 2 2 WESTCI@ER COUNTY DEPARTMENT h. - - O CHAIN OF CUSTO RECORD o CO OF LABS & RESEARCH PAGE____ OF_____ § 9 a - Y _s

l o SDG# LABORATORY WESTCHESTER COUNTY "0 C o o o name NVCDE ar. WS Rensido Lab ADDRESS VALHALLA, NEW YORK O o' o CONTACT CONTACT "0 N o O. CD SAMPLING ANALYSES 1— #OF — N LABORATORY SAMPLE PEST/ PRESER- 0 CD COMMENTS p515 SAMPLE NO. s AMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN o 23123 9/20/0/ 150 Byble — BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) o Q C 3 CD

Pei 18 2312 972/0/ Poxbfe Gotk 29125 950/0/ Foablle

/ RELINC BYJ RECEIVED BY: ARLEDAND ■ A*=4* ANALYSES/COMMENTS: IV. RELINQUISHED, BY: IV. RECEIVED BY: ANALYSES/COMMENTS: TG22 ceeda*-//e4 SIGN. XAMW— SIGN: SIGN: TSoha n/vJLk PRINT:V. MARn vS M PRINT; - kensicoobdef FIRM: tre V FIRM:xe. PRINT: FIRM: PRINT: FIRM: I DATE: TIME: It 4/ DATE: 0 TIME: 1^1 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: FIRM: PRINT: FIRM: PRINT: FIRM: PRINT: FIRM: 2&Te. TIME: DATE: TIME: DATE: TIME: DATE: TIME:

HL RELINQUISHED BY: 111. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: ■ 3 EL SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: = R*** FIRM: FIRM: FIRM: DATE TIME: DATE: 7 7E DATE: TIME: DATE: TIME:

EVIDENCE SAMPLES TAMPERED WITH:NO YES N/A SAMPLES DISPOSED OF ON:

F3 5/24**; =*. BY:

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NYC-WTC_000026323Source: NYC Law Department, mirrored locally

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

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

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

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Chain of custody record, Aug 2001 · Box DEP Box 19

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

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