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Chain of custody form, Westchester County Labs, undated

Machine-extracted title · confidence 90%

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

NYC-WTC_000026922–000026925

Folder label: “23842

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Scanned page image, NYC-WTC_000026922
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", ....... .... . — ========= 0/*** 2 2 < CHAIN OF CUSTOLRECORD "" ” kia pst© K o 9 2 3 —meninaaadan WESTCHESTER COUNTY DEPARTMENT OF LABS & RESEARCH _____ co — o- SDG# g' NAME LABORATORY WESTCHESTER COUNTY 099 imm "0 I o -~ NVchEP ReAco L4 8 ADDRESS 0000001/77 VALHALLA. NEW YORK________ • C O --------------------- _monae o o o CONTACT AVE208:sos CONTACT -HHilllinil mmmmm o' "0 N O. ■ -SAMPLING ---------- ~— ANALYSES 11///////1/0///1500 PRESER- CON TS- o — CD N N 11

CafleF LABORATORY SAMPLE NO. SAMPLE NO. DATE 4/24/0/ TIME 90 SAMPLE TYPE VOA ena PESTL PCB ______ METALS CN M2L3 77 1000910 #OF BOTTLES VATION 77 (SPECIAL merouc (CDEPLAN INSTRUCTIONS, CAUTIONS, ETC.) 0 o o

0 * -938+ * aaie 800 00 ji 110000 055 —.0900/91 _09001 - o C 3 CD —— _ T il —9 0, anmaami 9900

3813 7/25/0/ 24S r

el l < 15 ki 3TTB8T 19990255001 / mi smgigosg 0/8000/0/ 1 — T — .09 ____________ i h 20** TT li OroG/- -3%199/25/ 5151111TT! 937 "momd —— 95 77 996/ TIlTJTTIJf - lili TTUW maiTHF D ii 0 muepaaemeeao * ’ ill iii — _ i- mams ~i __ iiim mmpai ii 09990 6/5/0 aim 588 d mpii T ■ ■

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1 gamma is~nT Rpaggag - -mii - i1 f anevsescomenrs TTT 1 pq! "=m=**********r ■ "59

B SIGN: I. SAMW -AND RELI BY 1. REI SIGN: GMAWL4 U / ANALYSES/COMMENTS: XREUNOUISHED.BY IV. RECEIVED BY: SIGN: F NT: i FIRM: //YC DEP kenSco DATE: 9/25//TIME/33 DATEQslo/TME//33 PRMTLeelekeMy/ PRINT: PRINT: 0900 FIRM: FIRM: DATETM DATE: TIME: 1-11111110 ll. RELINQUISHED BY: II. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: — SIGN: . _ SIGN: SIGN: SIGN: 1

PRINT: •

——0/—m520/6 PRINT: 2 PRINT: PRINT: FIRM: FIRM: 9-9=i FIRM: FIRM: k— DATE:. TIME: DATE: TIME - DATE: TIME T DATE: TIME:

e III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS:VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: e PRINT: SIGN: SIGN: PRINT: PRINT: PRINT: FIRM: FIRM: aoa tt aon : - me FIRM: FIRM: DATE: TIME: DATE: ------------- —----- ---------- ------- TIME: / DATE: TIME: DATETM 007 EVIL 5 EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON: — ----- N: \ i /011"7119 Bmmm IF YES EXPLAIN IN REMARKS I BY _____ ======================================= -==================d C) _ . 9 "

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NYC-WTC_000026922Source: NYC Law Department, mirrored locally

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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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