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Document / 5 pages

Chain of custody record, Westchester County Lab, Oct 2001

Machine-extracted title · confidence 95%

Document tracking the custody and handling of environmental samples submitted to the laboratory.

NYC-WTC_000027165–000027169

Folder label: “24133”

Page image
Scanned page image, NYC-WTC_000027165
OCR text

OCR status: ok · source: pdftotext

2 2 K WESTC ER COUNTY DEPARTMENT CHAIN OF CUSTO® RECORD K o o ESEARCH PAGE 3 OF LAB

SDG# LABORATORY WESTCHESTER COUNTY co —

o 1 o o NAME NC DeP RexsikoLeb ADDRESS VALHALLA. NEW YORK "0 C O o CONTACT aes A Move,k CONTACT o' o "0 N SAMPUNG ANALYSES o LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS — O. 0 o :15 ■ ' ' SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC) O — OPLe rt o/ ^/o/ o Q C, C 4 1 3 CD 3

De//s 2(45 20727/0/ ClC 3— 22333 70/3/0/ y

/a 0025 0907 1. 17 ii

—

i

L SAMPLED-ND RFLIN. BY 1. REC BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: otxaxd fFSIGN: SIGN: 0 SIGN: PRINT: SAphame J H= PR PRINT: 009 PRINT: * /d $ " / 1Pptrt -5 “ DATE: /0//0/TIME/300 , RMWR*5n 66 FIRM:; % DATE. ——i FIRM: TIME: DATEtO]TME/60 DATE TIME:

II. RELINQUISHED BY: II. RECEIVED BY: ANALYSES/COMMENTS: SIGN: . RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: PRINT: F R." DATE: _‘ E PRINT: FIRM: DATE: TIME: PRNT DATE: TIME: PRINT: FIRM: DATE:

III. RELINQUISHED BY: : .RECE,ED 3 ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS SIGN: 3 2*. SIGN: SIGN: PRINT: PRINT: PRINT; PRINT: FR*. FIRM: FIRM: FIRM: DATE: TIME: DATE: TIME: A TIME: DATE: TIN

EVIDENCE SAMPLES TAMPERED WITH: NO r S N/A SAMPLES DISPOSED OF ON:

IF YES CX:* A *; N 22*. 5< S BY:

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NYC-WTC_000027165Source: NYC Law Department, mirrored locally

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machine-extracted · confidence unavailable · Check page ↗
DEP WTC record index, Oct 2001 · Box DEP Box 19

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