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Chain of custody record, Westchester County Labs, undated

Machine-extracted title · confidence 85%

Westchester County Department of Labs and Research chain of custody form documenting the transfer of environmental samples.

NYC-WTC_000026585–000026588

Folder label: “23471

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Scanned page image, NYC-WTC_000026585
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J 2 2 < WEST8H@ER COUNTY DEPARTMENT CHAIN OF CUSTORE CORD K o o 3 OF LABS S RESEARCH 1 co _s

o SDG# LABORATORY WESTCHESTER COUNTY U 1 o NAME DYCbPBUSKensdoa ADDRESS VALHALLA, NEW YORK C O o o o N CONTACT DavePow/som CONTACT I o' 0 O. CH d SAMPLING J , o — 00 LABORATORY SAMPLE PEST/ 09 #OF PRESER­ • ********* *, * 0 CH SAMPLE NO. SAMPLE NO. DATE 22341) 9///0) /DRs Potbl TIME TYPE VOA g?li BNA PCB METALS CN 240 BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS, ETC , O o CafLeCC 0 : Q C 3 CD

N.Ee 23472 9/2%/0/ 3

00009—510070 - Potabl i Co2)yT 23473 4/«/0/ (2100 Porab/f 1680 —

I. SAMPLEDAW REL BY LRECEIYEDBYGs ANALYSES/COMMENTS: SIGN: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:“Caaance SIGN:( V V" - SIGN: PRINT Seekasr( r] PRINT: LM WS0 PRINT PRINT: Rensccs —P. FIRM:Iy. X FIRM:Kensct, FIRM: g FIRM: FIRM- DATE:/sJ0) TIME: 2/8 DATE: I7S9\TIME: 79 DATE: TIME: DATE: TIME: 11. 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: w uam ** srKnegt

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NYC-WTC_000026585Source: NYC Law Department, mirrored locally

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