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Document / 9 pages

Chain of custody record, Westchester County Lab, Oct 2001

Machine-extracted title · confidence 85%

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

NYC-WTC_000027437–000027445

Folder label: “24472

Page image
Scanned page image, NYC-WTC_000027438
OCR text

OCR status: ok · source: pdftotext

2 K 2 o CHAIN OF CUSTODY RECORD K 3 o WESTCHESTER COUNTY DEPARTMENT OF LABS & RESEARCH PAGEJ OF ) Q CD — 1 LABORATORY WESTCHESTER COUNTY O SDG* 0 O O O MME ADDRESS VALHALLA. NEW YORK C O N CONTACT CONTACT __________________ o U 00 SAMPLING ANALYSES o LABORATORY — 55s 00 SAMPLE PESTI #OF PRESER- comments 0 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) O o o 573 2141217- of 4,84 A C. C 3 CD M:TZY: 211112 10/l Q,/2A 3

4350 H11- (0/6 7057 303/3 24750 ZHl10 WDLr’ $0327 3/0S0 441 (157 20334 &. t.

59350 20/1/ (00/ 3038% C.

788s0 2444718 Olh 303S7

125134349%8n02"=F9277 FIRM: DEP FIRM: 4 2 • DATE:{oloooJIME:A DATE:l//TIME:/I28 - ANALYSES/COMMENTS: IV. RELINQUISHED. BY: SIGN229— PRINT: ele-x

DATE-n/alon TME//5o IV. RECH SIGN: PRINTS FIRM:^i _ DATE: /?/o)TIME:/0500 ANALYSES/COMMENTS: Vot 2445-428

II. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN:— j SIGN:WTRCMD SIGN: SIGN: fMj PRINT: 2.0 7a PRWTEggACamr Melals PRINT: PRINT: M3 FIRM: (2 DATE: fo // TIME, c DATE: FIRM: 2 DATE: //a FIRM: TIME: / .AA DATE: 18/0 TiME-p*

III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: Kuk CM> SIGNj SIGN: MU SIGN292f PRINT: RutCamp PRINTEame ..... .............. PRINT: NP PRINT: sefns- FIRM: SI" FIRM: ty FIRM* L‘ P DATE 9 O/G/0) TIME:je :4o FIRM* DATE: 4042 /2/5, TIME/.% DATE://0c TIME4925 TIME4:2— EVIDENCE SAMPLES TAMPERED WITH:NO YES N/A SAMPLES DISPOSED OF ON: 1 BY: " ver MO "" P2*1 mr

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NYC-WTC_000027438Source: NYC Law Department, mirrored locally

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