Chain of custody record, Westchester County Labs, Oct 2001

I 2 2 K - o PAGE w O WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD 3 OF LABS & RESEARCH m " o —

1 o “O o SDG# ..................... ................................................ LABORATORY WESTCHESTER COUNTY C O o o NAME MCDEABs2SidoLab ADDRESS VALHALLA. NEWYORK o o N CONTACT _ n uaP.s A-Mors_______________ CONTACT ___________________________ “0 — ANALYSES _ = meg o 0) SAMPLING 69110/79 " —COMMENTS — C LABORATORY SAMPLE •ttvitXBt PESTL — ToF PRESER­ 0 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB । METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) o o XoE2SYs H&MAF1EA BB WMDA NEE glnllKigttttttK: qji 96 i 650 118 * Q C 3 ommmy Tn CD

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1. SAMPLED AND RE 1. RECEIVI ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMN SIGN: ecemiesedk SIGN.) S . on) 8: : mm SIGN: SIGN: PRINTSiohcore PRINT: PRINT: FIRM: jHCbfPT FIRM: LU • • , FIRM: FIRM: DATE: /o/ 1Qo /TIME:820 DATE:/o)/o//TIME:820 DATE: TIME: DATE: TIME: 11. RELINQUISHED BY: 11. RECEIVED BY. ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS SIGN: PRINT: SIGN: PRINT: -0 PRINT: SIGN: ' SIGN: PRINT: ^lltllltllXtllgKlfllgKf^^

FIRM: FIRM: : id 8 FIRM: FIRM: DATE: TIME: DATE: TIME: DATE: TIME: DATE: TIME:

III. RELINQUISHED BY: III. RECEIVED BY: : 8 ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: PRINT: SIGN: PRINT: ' ' \ id 50 SIGN: PRINT: SIGN: S 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: It l i IF YES EXPLAI EMARKS BY: -_ |

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