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Document / 8 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_000027189–000027196

Folder label: “24214

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Scanned page image, NYC-WTC_000027189
OCR text

OCR status: ok · source: pdftotext

Z K O co

Z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD U C K O' OF LABS & RESEARCH PAGE OF o 5 — SDG#* LABORATORY WESTCHESTER COUNTY U o o o NAME Rye D E- ADDRESS VALHALLA. NEW YORK —

O CONTACT CONTACT D o o o N SAMPLING ANALYSES 2 LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS 3 SAMPLE NO. SAMPLE NO. DATE TIME TYPE CD 00 VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC.) cO 3

BXS9 242:5 2osez x 242/ L 29/324 S8%s 24217 iolalo /20sa 24729 .“je) 2 9:44 22288 £2810. 242il 24244 VFYAYAWLX: 9:26 4 1 L L

3 s I I. SAMPLED AND RELINQ. BY 1. RECE SIGNa-—- ' SIGN:f ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN:

veakeley 1 DATE(o/3//TIME(O/JSDATE1O]3)1(TIME:/0.SS s PRINT: V. L(G%O FIRM: PRINT: FIRM: ‘C+I ’ ) PRINT: FIRM: DATE: TIME: PRINT: FIRM: DATE: TIME:

11. RELINQUISHED BY: II. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: 1? SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: FIRM: FIRM: DATE: TIME: DATE: TIME: DATE: TIME: DATE: 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: PRINT: FIRM: FIRM: FIRM: FIRM: DATE­ TIME: * DATE: TIME: DATE: TIME: DATE: TIME:

ICE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON:

KS BY:

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NYC-WTC_000027189Source: NYC Law Department, mirrored locally

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