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Chain of custody record, Westchester County Labs, undated

Machine-extracted title · confidence 50%

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

NYC-WTC_000026779–000026786

Folder label: “23717

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Z K O < WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY. RECORD C0 9 OF LABS & RESEARCH PAGE OF_/ U o SDG# WFrsllamsmt LABORATORY WESTCHESTER CPU IB C O WSKJsKY 1MAAWRC t O.

co • NAME CONTACT

LABORATORY SAMPLE NO. SAMPLE NO. DATE SAMPLING TIME SAMPLE TYPE ADDRESS CONTACT

VOA BNA VALHALLA. NEW YORK

PESTT PCB ANALYSES METALS CN 9%s #OF PRESER- BOTTLES VATION ---- COMMENTS (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) o U o © o 2 O

8+2 22717 926 40/F4— §CD 2. A±58 23771% izl 95 77450 4/26 27550 32380 2444 29122.

-23228 916 0341 9720 7240 1 551SD 7z //00 415sd Ze -9/26 /o$3

1. SAMPLED AND-RELINQ. BY I. REC VEDBY: ANALYSES/COMMENTS IV. RELINQUISHED, BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: ===--x / SIGN 6 1AAY SIGN: SIGN: PRINT: VTI&LAo PRINT:. U50Y1 PRINT: PRINT: FIRM: 02.17, FIRM: FIRM: FIRM: < DATE-9l/23/oTME //2e DATE: 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: TIME: DATE: TIME: ----- III. RELINQUISHED BY: Hi. 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? 3 GArre BY:

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NYC-WTC_000026779Source: NYC Law Department, mirrored locally

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