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Document / 8 pages

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_000027107–000027114

Folder label: “24046

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Scanned page image, NYC-WTC_000027107
OCR text

OCR status: ok · source: pdftotext

2 2 - - WESTCHESTER COUNTY DEPARTMENT • CHAIN OF CUSTODY RECORD o o page Lof l o 2 OF LABS & RESEARCH — "0 o SDG# LABORATORY WESTCHESTER COUNTY C 1 O o NAME ADDRESS VALHALLA. NEW YORK o / o' o CONTACT CONTACT o "0 N o SAMPLING ANALYSES — O LABORATORY DATE TIME SAMPLE TYPE PESTT PCB METALS CN sooss—*Or BOTTLES PRESER- COMMENTS 0 O SAMPLE NO. SAMPLE NO. VOA SNA VATION (SPECIAL INSTRUCTIONS. CAUTIONS, ETC) o o 24042 C M=S: W2L3.2% 3 1 CD

8453 24096 EAYM lot SV 2-042 (o/e f30( 24048 9Jit SV 2.946’3 £(23 24049 30250 249 08*(

4/2SD 2-78S. (otS 24s, 404940 52+SD 2 14 Ce2 V /238 2405.2

1. SAMPLED AND RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN? —=O SIGN: =8— r SIGN: SIGN: PRINT: V. GA2 PRINT: € .e-m PRINT: PRINT: FIRM:PE.P- FIRM:—P FIRM: FIRM: DATE: (o/g./o/TIME:/0,5/ DATE:/o/2/01 TIME 57 DATE: TIME: DATE: TIME: II. RELINQUISHED BY: 11. 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: 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 EXPLAIN REMARKS BY:

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NYC-WTC_000027107Source: NYC Law Department, mirrored locally

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NYC-WTC_000026945 · Box DEP Box 19

Westchester County Department of Labs and Research chain of custody form for environmental samples submitted by the City DEP.

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