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o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o
2 OF LABS & RESEARCH PAGE OF 1 co
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I SDG# LABORATORY WESTCHESTER COUNTY "0
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NAME AgC® ADDRESS VALHALLA. NEW YORK O
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N CONTACT CONTACT ______________________ "0
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CO SAMIPLING ANALYSES —
o LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS 0
SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCS METALS CN cos
BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) O
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I. SAMPLED AND/RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVEE ANALYSES/COMMENTS:
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FIRM: oeP FIRM: . z CIA. _ 6 FIRM: -SR
DATE: |o ototTME::4r DATE: 10/7//TIME: 9: FC K DATE: 1 o/q (0) TIME:/0: r
24474-280
TIME .5
II. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS:
SIGN:=-A- ( SIGN:Kuth@n SIGN.Yhut SIGN: H4—
PRINT: 1emr— PRINT:RufkCawp Meals PRINT: LoMvsM PRINT: Wo,
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FIRM: 1 FIRM: ’ FIRM: 6 0 FIRM: V
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TIME/0,c DATE-16/9ot TME-/OAM DATE: ol1o (0) TIME:]PV
III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS:
SIGN: Rut. Comp SIGN:22( SIGN: iat SIGN:
PRINT: Ruklamp PRINT:6-eno— PRINT: Aso PRINT:
FIRM: Lk P FIRM: L2 FIRM: FIRM:
DATEiojolol TIME/0/% DATE for TIME/0.% DATE:oso/t TIME:
SAMPLES DISPOSED OF ON:
DATE: TIME:
EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A
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IFYESEXPI IN REMARKS BY:
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