Chain of custody record, Westchester County Lab, Sep 2001

9961 2 2 - WESTCHI@R COUNTY DEPARTMENT CHAIN OF CUSTODERRECORD 4 K o 2 < 5 OF LABS & RESEARCH _____________ _________ - < ; W m T a"" 1 co — - o SDG# LABORATORY WESTCHESTER COUNTY & 8 NAME NVCDEPSWSKensicolab CONTACT - ADDRESS ' CONTACT VALHALLA, NEW YORK __________________________ “0 , C [ O o' S SAMPLING TT ANALYSES r "0 S o 8 1 a

1 SAMPLE NO. Cat* LABORATORY SAMPLE NO. O(S & TIME SAMPLE : TYPE , VOA 1 BNA PESTE PCB METALS CN 227TTT 220 BOTTLES PRESER- -MENTS e]" VATION • (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) 0/ ______ ______________ ___ : *— 80 O o

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— Ipp -- 1— I. SAMPLED AND RELINQ. BY|LRECI ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: ; d SIGN:P.w), PablSo SIGN: SIGN: Ta W 003 SIGN: m—mmam ■■ ee

PRINT: ZJ. PRINT PRINT: PRINT: FIRM:BNc -be FIRM: FIRM: FIRM: m/ DATE:412401 TIME 141S DATEooTMEG.(6 DATE: TIME: DATE: TIME: wrnninmnnumn"......... " .. dounT : E IL RELINQUISHED BY: IT RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: i - SIGN: SIGN: SIGN: SIGN: : \ — PRINT: i T FIRM: PRINT FIRM: 7 PRINT: FIRM: PRINT: FIRM: ; / 99 i / if DATE: TIME: DATE: TIME: DATE: TIME: DATE: TIME: .. rrimiinnt". mn""" ". 1 nmnomm p 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: W EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON:

i IF YES EXPLAIN IN REMARKS BY: 111 | Illi D