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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_000026695–000026702

Folder label: “23650

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I Z 2 i K - o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o OF_ CD 3 OF LABS & RESEARCH PAGE

1 o . SDG# ____________ LABORATORY WESTCHESTER COUNTY "0 C O NAME NUCDE ADDRESS VALHALLA, NEW YORK O O o O CONTACT • CONTACT O “0 N o CD CD SAMPLING /N:VLYSES — CO LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS 0 CD SAMPLE NO, SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS ETC) o

3453 Q C 8.3 9l2e Po: /2- /i 3 CD

9/20. Q44 193650 5-50 290S3 as --12304 lols L 244s0 24662 YoyEwH FASISA 349D FEFEs 2 351 4/7SO ^0^1 0702- -6056 52/50 270 89 (033 33657

1. SAMPLED RELINQ. BY 1. RECI BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN- SIGN: SIGN: SIGN: PRINT: V, (( GCAO PRINT: Lestelhe PRINT: PRINT: 0.6.P NYC FIRM: v.U. FIRM: iwX. FIRM: FIRM: DATE: C * *5 DATE: TIME: DATE: TIME: 11. RELINQUISHED BY: II. 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: JIME: DATE: TIME: - 'i 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 EXPLANEEMARKS BY:

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NYC-WTC_000026695Source: NYC Law Department, mirrored locally

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Sample submission form, Sep 2001 · Box DEP Box 19

NYC-WTC_000025975

Chain of custody form for samples submitted to Westchester County Laboratories in September 2001.

11 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.995

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Record documenting sample transfer and custody for environmental testing at the Westchester County Department of Labs & Research.

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