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Chain of custody record for Westchester County samples, Oct 2001

Machine-extracted title · confidence 98%

Form recording the chain of custody for samples analyzed by Westchester County Department of Labs and Research in October 2001.

NYC-WTC_000027513–000027515

Folder label: “24481

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Scanned page image, NYC-WTC_000027513
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OCR status: ocr · source: ours

€ 1SZZ0000 OLM-OAN WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD OF LABS & RESEARCH pace_| or _| SDG# LABORATORY _WESTCHESTER COUNTY NAME MU CATP ADDRESS VALHALLA, NEW YORK CONTACT CONTACT SAMPLING ANALYSES LABORATORY SAMPLE PEST? | FOF PRESER- COMMENTS SAMPLE NO. [SAMPLE NO. [DATE TIME TYPE VOA {BNA [PCB METALS| CN SS {BOTTLES | VATION | (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) [By> Zea ore 55 = a Te axes | 2uesz. | le (ud = = Zz a a 1. SAMPLED AND RELINQ. BY|1. RECEIVED BY: ANALYSES/COMMENTS: | IV. RELINQUISHED. BY: IV. RECEIVED BY: |. _ | ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: Vor PRINT: M « YAco PRINT: Ae PRINT: Z. PRINTCW e FIRM: DEP FIRM: FIRM: FIRM: LAr 24401- 4Br. DATE: }0/ Jo (TIME: 9: 60Aq DATE: 0 alee TIME: 6.¢5 DATE:,, of, TIME: fp, 67 | DATE: 10/4 fo TIME: /oer> II, RELINQUISHED BY: ll. RECEIVED B ANALYSES/COMMENTS: |V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN SIGN: — ar ee SIGN: PRINT: & . jp ore- PRINT: Rut PRINT: Ha) PRINT: FIRM: by FIRM: w Meta FIRM: \yy FIRM: US8 Herols DATE: /p Fe/) TIME: p + DATE:i9/q lol TIME: 10:00 DATE: ip (jo|6 | TIME: |Q0Y [DATE toltefy, TIME: {pio Ill, RELINQUISHED BY: Ill. RECEIVED BY: ANALYSES/COMMENTS: | VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: “Path, Comp SIGN— SIGN: SIGN: PRINT: Puth Camp PRINTE ne. PRINT: PRINT: FIRM: U FIRM: FIRM: We FIRM: DATE: jg TIME: 6 :4/p| DATE: ol yj TIME:/as «fy DATE: yol/e[a1 TIME:tn¢o | DATE: TIME: EVIDENCE SAMPLES TAMPERED WITH:___NO___YES__N/A SAMPLES DISPOSED OF ON: € IF YES EXPL REMARKS |e BY: @ qUSWUNDOQ |BNOd IIIGNd L1/6 DAN

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NYC-WTC_000027513Source: NYC Law Department, mirrored locally

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