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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_000026669–000026672

Folder label: “23605

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Scanned page image, NYC-WTC_000026669
OCR text

OCR status: ok · source: pdftotext

2 [ Z - - WESTCIGTER COUNTY DEPARTMENT CHAIN OF CUSTO® RECORD 1 6 34 —9 O co

3o ( B OF LABS & RESEARCH PAGE r —

SDG# LABORATORY WESTCHESTER COUNTY CU ch z 1 o o NAME NVC-OEP-Sc) ADDRESS VALHALLA, NEW YORK o o ill CONTACT _ors CONTACT ' _________________ ._______ N O. O. O. CD I llllli LABORATORY SAMPLE NO. SAMPLE NO.DATE— TIME SAMPLING SAMPLE TYPE VOA BNA PEST) PCB ANALYSES T METALS CN #OF pmmmmmm——/ PRESER- a——COMMENTS BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) s8 o

PaHLAC 23007 9/250) 10110 RoableUOee 1 33 90—** o

DA % 2300( N Gp.mmmmmm ammmmT//pmmm—m7, 10:40 I It

Coll 23005 13345 7 •( It I —mmmam ommmammmmm 19331 cmmpmmmmm f of " Tm. 5 n.mmmmmmm W - —ema 1- mmpaa) m bmmpmgmmmmmmmm RS mpamas gmmmmm m.ammmmmmgammm SS mmmm —■———— 90 1 00 m I — 0m//m0/111/1////7 • - I. SAMPLED SIGN: RSEERus .BY I. RECEIVED B SI' ANALYSES/COMMENTS: IV. RELINQUISHED. BY: SIGN: IV. RECEIVED BY: SIGN: ANALYSES/COMMENTS: s o.. imonmmma

PRI TKC-slU6.0wA‘s RINTMaSMSOV) INT: dr PRINT: PRINT: FIRM: NL-0 O A Ken6 w 4 FIRM: 1 “ FIRM: FIRM: -

iE DATE: Q 4o I TIME: 8:39 DATE:q20o TIMER 15 DATE: TIME: DATE: TIME: 1 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: Illlil DATE: TIME: DATE: TIME: DATE: TIME: DATE: TIME: 1 III. RELINQUISHED BY: SIGN: III. RECEIVED BY: SIGN: ANALYSES/COMMENTS: VI. RELINQUISHED BY: SIGN: VI. RECEIVED BY: SIGN: ANALYSES/COMMENTS: PRINT: PRINT: PRINT: PRINT: --- FIRM: FIRM: FIRM: DATE: TIME: FIRM: DATE: TIME: ) o//m07 DATE: TIME: DATE: TIME: ...... ;. Him EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON:

IF YES EXPLAIN IN REMARKS BY: .... ... a ) — 1.

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NYC-WTC_000026669Source: NYC Law Department, mirrored locally

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