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Document / 8 pages

Chain of custody record, Westchester County Labs, Oct 2001

Machine-extracted title · confidence 90%

Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.

NYC-WTC_000027641–000027648

Folder label: “24694

Page image
Scanned page image, NYC-WTC_000027641
OCR text

OCR status: ok · source: pdftotext

2 2 - - O WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o 2 OF LABS & RESEARCH PAGE OF CD — o SDG# "0 1 o LABORATORY WESTCHESTER COUNTY C o o NAME NUCB&P ADDRESS VALHALLA. NEWYORK O o' o CONTACT CONTACT N "0 o o) sampling ANALYSES — LABORATORY SAMPLE PESTI #OF PRESER- Comments 0 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA SNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC.) O o Q

22 2Hvu 10//0 /0,200 — C 3 CD

353 2414s (01/0 9.%. 4 1&8S0 2070 7 7079 0416—— 27750 3342 2uua —- 7019 0737 2

1950 30 925 (019 /o%0 4/SS0 4l ■^073 224416.4 5 (ol9 08(0 ^0 7^7 (0/9 ofvy 2410D

1. SAMPLED AND RELINQ. BY 1. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: PRINT: v.n&Ao SIGNS SIGN: SIGN: PRINT: VST PRINT: PRINT: ARM: P.C. f FIRM: J FIRM: FIRM: DATE: lol(O)ME:lS DATE: |#||o|o>TIME: 116 DATE TIME: DATE: TIME: II. RELINQUISHED BY: 11. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: ARM: FIRM: FIRM: FIRM: DATE TIME: DATE: TIME: DATE: TIME: DATE: TIME: III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. REUNQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: • SIGN: PRINT: PRINT: PRINT: ‘ PRINT: ARM: FIRM: FIRM: FIRM: DATE: TIME: DATE: e TIME: DATE TIME: DATE: TIME:

EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON: IF VEg Ey" f BY:

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NYC-WTC_000027641Source: NYC Law Department, mirrored locally

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