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Document / 3 pages

Chain of custody record, Westchester County Lab

Machine-extracted title · confidence 100%

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

NYC-WTC_000027495–000027497

Folder label: “24479

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Scanned page image, NYC-WTC_000027495
OCR text

OCR status: ok · source: pdftotext

Z ' 2 K - o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o 2 OF LABS & RESEARCH PAGE OF 1 co — o I SDG# LABORATORY WESTCHESTER COUNTY "0 o C o o o NAME AgC® ADDRESS VALHALLA. NEW YORK O o' N CONTACT CONTACT ______________________ "0 o 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 o Q

LRE Z947‘ /0 EMsAEy t C 3 CD 7 6152 EZA0] /o/=

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I. SAMPLED AND/RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVEE ANALYSES/COMMENTS: SIGN: JeMo*. SIGN: Jfo_ ______ SIGN:—7 f SIGN: lai PRINT: M.OYAcouS PRINT: J1W/ CAt . PRINT: eene PRINT: ( Vot 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,

DATE(otoloTME(no elel FIRM: 1 FIRM: ’ FIRM: 6 0 FIRM: V DATE:h 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 w

IFYESEXPI IN REMARKS BY:

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NYC-WTC_000027495Source: NYC Law Department, mirrored locally

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