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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_000027356–000027363

Folder label: “24395

Page image
Scanned page image, NYC-WTC_000027356
OCR text

OCR status: ok · source: pdftotext

Z : Z K K o ■ 3 o WESTCHESTER COUNTY DEPARTMENT OF LABS & RESEARCH CHAIN OF CUSTODY RECORD PAGE ( OF o co — 1 "0 o SDG#’ LABORATORY WESTCHESTER COUNTY C o O o o NAME MJCDeP ADDRESS VALHALLA. NEW YORK o' N CONTACT CONTACT "0 c o CH SAMPLING ANALYSES — O. LABORATORY SAMPLE NO. SAMPLE NO. DATE TIME _ M SAMPLE TYPE VOA SNA PESTA PCB METALS CN Pss #OF PRESER- BOTTLES VATION COMMENTS (SPECIAL INSTRUCTIONS. CAUTIONS, ETC) 0 O o o C B3 2439S 75^ 3 he CD

WSF4-r.MES7g 707- 9**1 t. (

lossy 10/4 KoleH 2394% 253S^ 5018 zo/4 (299 Cr FFEYrr SSOSO 1 20/87 L2 (323 ZEsA 43150 30147 (0/4 0922 1. 24400 520S0 3020 2 (of4 1^/0!

1. SAMPI LINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: < e SIGN: SIGN: PRINT: • FiRM: 2) FIRM: EP 8y P FIRM: L12, PRINT: FIRM: PRINT: FIRM: DATE: W5.t TIME: lo:tz DATEmIs/o) TIME: (0:42: DATE TIME: DATE: TIME:

II. RELINQUISHED BY: II. 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 YFS EXPLAIN 0 MARKS BY: _

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NYC-WTC_000027356Source: NYC Law Department, mirrored locally

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