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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_000026402–000026430

Folder label: “23270

Page image
Scanned page image, NYC-WTC_000026402
OCR text

OCR status: ok · source: pdftotext

------------------------ - ----------- — ----------- — A 2 2 .. - K O NESTCIER COUNTY DEPARTMENT CHAIN OF CUSTONKECORD O 2 OF LABS & RESEARCH PAGE F CD — o SDG# DEBBWS KensolobL I LABORATORY WESTCHESTER COUNTY U C O O NAME NYC ADDRESS VALHALLA, NEW YORK O O CONTACT_____________________________________ CONTACT o' O -------- ------------ "0 N O) SAMPLING mm ANALYSES 7T o o N e LABORATORY SAMPLE FEW 509# OF PRESER- COMMENTS — 0 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN /52.5 BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) O C-+ Lef 23271 Qalol ~8IS 0 o Q C 3 CD

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et2t e=an2ll C$aSdsenead /O B 23270 0.2401 /074

REC I. SAMPLED AND RELINO. BY ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS GN. 6 , voe SIGN:, SCeasu==% PRINT: S) Y . cagnuson ia used .PPRINTE agn uson FIRM:W a D7 Xencico FIRM: Ln , Un 5 ■III 11 ■■ SIGN: SIGN: PRINT _ PRINT: FIRM;) FIRM: [ " "9

DATE:9/S/04 DATE: 0/2 9/2 TME://O DATE:," TIME: DATE: TIME:

II. RELINQUISHED BY: II. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: ■■lit SIGN: SIGN: SIGN: : PRINT: 1119 PRINT: PRINT: PRINT: FIRM: . FIRM: FIRM: .FIRM: . DATE: , TIME: DATETME: DATE: TIME: DATE: TIME: I III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI RECEIVED BY: ANALYSES/COMMENTS: r :oat) a smoni SIGN: SIGN: SIGN: SIGN: : / i t .

PRINT: PRINT: PRINT : PRINT: FIRM: FIRM : FIRM: FIRM: / Gs hid 9 1090093 -= TIME: DATE:TME DATE: TIME: DATE: TIME:

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

IFV LAIN IN REMARKS BY:

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NYC-WTC_000026402Source: NYC Law Department, mirrored locally

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

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Sample submission form, Aug 2001 · Box DEP Box 19

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