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Chain of custody form, Westchester County Lab, Sep 2001

Machine-extracted title · confidence 95%

Record documenting sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.

NYC-WTC_000026432–000026446

Folder label: “23318

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Scanned page image, NYC-WTC_000026432
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2 Z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTORECORD PAGE / - o K . OFLABSGRESEARCH co o 3 SDG# LABORATORY WESTCHESTER COUNTY — “0

I o ■ o NAME DUCN&P ADDRESS VALHALLA. NEW YORK C O o CONTACT CONTACT o o “0 o N SAMPLING ANALYSES o O) LABORATORY SAMPLE PESTI roF PRESER- cOmMents SAMPLE NO. SAMPLE NO. DATE TIME TYPE 6 0 00 VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC) N O 4 o o b£3 E%1 K 9/2-2- GEX/TI £ C 3 CD 3168 2-301%) 9/22 AFAM 186s0 2(T234 0/2-? 08sS 2332-0 220S0 083.

5s7s0 132. 9/2/ o30 23322 4SSO 2. *META 2-0 123% 23323 519s0 22011 22324 YayPM

1. SAMPLED D RELINQ. BY I. RECEIVED BY; . ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:/. A SIGN- mA SIGN: SIGN: PRINT: NAT 4M AcouB PRINT:2P ft. PRINT: PRINT: FIRM: 9>Er. 30 FIRM: &r/e FIRM: FIRM: DATE:9/22/0l TIME: 10 AM DATE: TIME/»:zo DATE: TIME: DATE: TIME: 11. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN. SIGN: 4 SIGN: SIGN: PRINT: MUSM PRINT: PRINT: PRINT: FIRM: DATE: 0| TIME:/o 15 FIRM: wk DATE: I/W/e TIME: (S Mell FIRM: DATE: TIME: FIRM: DATE: TIME:

III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: wdo SIGN: SIGN: SIGN: PRINTC PRINT: PRINT: PRINT: FIRM: Ce FIRM: FIRM: FIRM: DAT£^W 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_000026432Source: 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 0.997

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NYC-WTC_000026447 · Box DEP Box 19

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

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NYC-WTC_000026452 · Box DEP Box 19

Laboratory report detailing metal analysis of water samples collected from Hillview Reservoir on September 22, 2001.

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