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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_000026837–000026841

Folder label: “23797

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pac©._ 2 2 - O wESTCO. COUNTY DEPARTMENT CHAIN OF CUST ECORD - O co 3 OF LABS & RESEARCH tSDG# _ ____________ LABORATORY WESTCHESTER CPU XIE. — o "0 I o NAME NVCDeAXE/co~/3 ADDRESS VALHALLA, NEW YORK C O o o o CONTACT DayeRobasoi .- CONTACT o "0 N SAMI LINO ANALYSES o PRESER- COMMENTS------ 1 O) — 00 LABORATORY SAMPLE PEST/ o‘ #OF 0 GO SAMPLE NO. SAMPLE NO. DATE IME TYPE BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ET': O (LeR 93797 427/01 o Q C 3CD Dik 237* -e =37/0/ 02

( r CH 13778 ^127/01

I. SAMPLED AND RELINyQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: &oolle0A —2 ASSIGN=99( SIGN: SIGN: PRINT:&eche/ J.i.M PRINT: bawo PRINT: PRINT: FIRM:NYc den Xenside2 FIRM: 50 FIRM: ; FIRM: DATE:/// TIME: 4)0 DATE:9 //0) TIME: y: lb : DATE: TIME: DATE: TIME:

11. RELINQUISHED BY: I. RECEIVED BY: ANALYSES/COMMENTS V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: 5 SIGN: PRINT: PRINT: PRINT: PRINT: i FIRM: DATE: TIME: FIRM: DATE: TIME: FIRM: DATE: IITIME: DATE: FIRM: 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 FIRM: FIRM: • PRINT: I FIRM: FIRM: DATE: TIME: DATE: TIME: DATE: ■ TIME: DATE: TIME:

EVIDENCE SAMPLES TAMPERED WITH: mmrinr’mm..... . NO YES Secmeranteean : .sersinsnore N/A SAMPLES DISPOSED OF ON:_________ IF YES EXPLAIN IN REMARKS BY 1 - , 200. 5- ? i O0ee/

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NYC-WTC_000026837Source: NYC Law Department, mirrored locally

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Document tracking environmental samples collected at the WTC site and transferred to a laboratory for analysis.

13 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.988

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

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