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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 for environmental samples submitted by the City DEP.

NYC-WTC_000026611–000026618

Folder label: “23497

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Scanned page image, NYC-WTC_000026611
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Z K WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTOCRECORD . O co Z - OF LAB ESEARCH o .? U 5 -1 SDG# NAME NJCDCP LABORATORY WESTCHESTER COUNTY ADDRESS VALHALLA, NEW YORK C O 1 o CONTACT CONTACT ______________________ o o “0 O O O O SAMPLING ANALYSES • N LABORATORY SAMPLE PESTI #OF PRESER- CL 0 CD SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA SNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUL D CD o Z 2 623 2 234’) 925 DSA * §CD 5- 263 224% EFFTEFALw /2/50 2892 509 9/2% / O44s 242S0 28% 72-15 4. OZ. DSlSo 26730 YFMSui &/z/So — 25501 28442. 1 Yokd“T t _ 1404 I 53350 2915380 y JEER !

1. SAMPLED AND.RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: - —be A SIGN: kYu SIGN: SIGN: s PRINT: $E$ FIRM: y.t., QA6 , PRINT:. KACOi FIRM: . DATE: 9/2/oTME 102 24 DATE9 2500TIME-(78 PRINT: FIRM: DATE: TIME: PRINT: FIRM: DATE: TIME: - 2

11. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: 2 PRINT: PRINT: PRINT: PRINT: J 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_000026611Source: NYC Law Department, mirrored locally

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