Chain of custody form, Westchester County Labs, undated

2 CHAIN OF GUSTODGECORD 2 - O ■ WESTCHESTER COUNTY DEPARTMENT K Q

2 OF LABS & RESEARCH SDG# _____ _____ _______ ______ PAGE CD — o 1 LABORATORY WESTCHESTER COUNTY Konsida L “0 I o NAME NYC DeP ADDRESS VALHALLA, NEW YORK C O o o o N CONTACT Jm.Morn’s . ...... . CONTACT________ _______ ______ ANALYSES o' "0 e SAMPLING o o LABORATORY SAMPLE ..... " COMMENTS — ' PEST) #OF 0 CD SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) o Del 1% 2313 ' 9/24/01 6 820 o o C

" mmmad 3 CD Ilf mmm .0—0 Z11 0/39/0/ 0755 99

C "0 =7 23119. 9/25/0 / 13 oo OHS® 1

050"

-1 -ri 7 //KAA 1.SAMA SIGN: / Lee -LANA.BY 1. RECEIVED BYC 71 SIGN.C YAMS— ANALYSES/COMMENTS: IV. RELINQ SIGN: HED. BY: MnaansBOnOBNSBBOBTFNOONSOSRASSS

IV. RECEIVED BY: SIGN: xomaaenun

PRINT: 1 IW-t FIRM: Ny 0* PRINT: L.Maghuson srKouse2r FIRM: U Aman PRINT: FIRM: PRINT FIRM: i I I DATE: (0) 0 . ' DATE:#b/1/v/TIME:845 TIME: S!45 mamii DATE: TIME: DATE: TIME I

11. RELINQUISHED BY: 11. RECEIVED BY: V. RELINQUISHED BY: ANALYSES/COMMENTS: V. REC * . .. .. SIGN: SIGN: SIGN: PRINT: PRINT PRINT: PIRNe FIRM: FIRM: FIRM: j ! .. DATE:? TIME: DATE: TIME: m* DATE: TIME: DATE: "q III. RELINQUISHED BY: HI. RECEIVED BY: ANALYSES/COMMENTS VI. RELINQUISHED BY: VI. REC= = - ' NALY: SIGN: SIGN; SIGN- SIGN: PRINT: / FIRM. PRINT: FIRM: mmm PRINT: FIRM: PRINT: FIRM: }

DATE; TIME: DATE: TIME: id TIME: DATE. lMic.

EVIDENCE SAMPLES TAMPERED WITH:NO YES N/A samples Disposed of on: p=mmd9m=m9aama=9)9,a .■ . < .Rmmmm

IF YES EXPLAIN IN REMARKS BY: j

(