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Chain of custody record, Westchester County Labs, Sep 2001

Machine-extracted title · confidence 90%

Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.

NYC-WTC_000026566–000026568

Folder label: “23359

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Scanned page image, NYC-WTC_000026566
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OCR status: ok · source: pdftotext

2 2 K o WESTCHIGR COUNTY DEPARTMENT CHAIN OF CUSTODGECORD t < o 2 OF LABS & RESEARCH I'. PAGE CD — o SDG# ___________ _ LABORATORY WESTCHESTER COUNTY 1 "0 o o o NAME NGCNeP CONTACT • ADDRESS VALHALLA. NEW YORK C O o CONTACT o' N "0 O. • CH SAM PLING ANALYSES o O. O. LABORATORY SAMPLE NO. SAMPLE NO. DATE TIME SAMPLE TYPE VOA BNA PEST/ PCB METALS CN Sks #OF PRESER- BOTTLES VATION * comments (SPECIAL INSTRUCTIONS. CAUTIONS. ETC) — 0 o o 212 2954 I EXAW 2 Q C 3 CD

Hy 2% 233L0 9l24 9AA,

1

I. SAMPLED AND RELINQ. BY I. RI ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:- f SIGN: SIGN: PRINT: VISLAo FIRM: .E,Y 3/240/T FIRM: 02 M DATE 9/240/TIME: /Ofo DATEg4l0)TIME:(04 ... PRINT: FIRM: DATE: TIME: PRINT: FIRM: DATE: TIME:

II. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: FIRM: FIRM: DATE- TIME: DATE: TIME: DATE: TIME: DATE: TIME:

III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: ' SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: FIRM: FIRM: DATE: 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_000026566Source: NYC Law Department, mirrored locally

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