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- WESTCHI@R COUNTY DEPARTMENT CHAIN OF CUSTODERRECORD 4 K
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OF LABS & RESEARCH
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NAME NVCDEPSWSKensicolab
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VALHALLA, NEW YORK
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1— I. SAMPLED AND RELINQ. BY|LRECI ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS:
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PRINT: ZJ. PRINT PRINT: PRINT:
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DATE:412401 TIME 141S DATEooTMEG.(6 DATE: TIME: DATE: TIME:
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: E IL RELINQUISHED BY: IT RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS:
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III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VL RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS:
SIGN: SIGN: SIGN: 0010/01 SIGN:
PRINT: PRINT: PRINT: PRINT:
FIRM: FIRM: FIRM: FIRM: ' 1
DATE: TIME: DATE: TIME: DATE: TIME: DATE: TIME:
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EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON:
i IF YES EXPLAIN IN REMARKS BY:
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