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Document / 4 pages

Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Record tracking the custody and transfer of samples to the Westchester County Department of Labs & Research.

NYC-WTC_000027862–000027865

Folder label: “24980”

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Scanned page image, NYC-WTC_000027862
OCR text

OCR status: ok · source: pdftotext

a 2 K Z o K CHAIN OF CUSTODY RECORD 3 WESTCHESTER COUNTY DEPARTMENT O OF LABS & RESEARCH PAGE OF CD — 1 o LABORATORY WESTCHESTER COUNTY U o SDG# C o o NAME YC -DEP ADDRESS VALHALLA, NEW YORK O N CONTACT. 2 M orvS CONTACT __________ ;_________________ o' c U O. SAMPLING ANALYSES o COMMENTS N LABORATORY SAMPLE PEST/ # OF PRESER- - — 0 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) O CATLEFDT 2 l 11 ol 0830 (kab 3. o Q C 3 DeUI 2478 1012 0l 0)00 (olable 18 CD

CRo@H 2470 10120l 1000 AHable ,2 ■ |O

I. SAMPLED AND RELINQ. BY 1. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY; ANALYSES/COMMENTS: SIGN: 2W. Love® SIGN. SIGN: SIGN: PRINTS. vJ. Roov ~s— PRINTS PRINT: PRINT: FIRM:H*0DC{ FIRMGF./ _ FIRM: FIRM: DATE:^,^|0| TIME:31S DATE://2/, TIME:/3725 '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: FIRM: FIRM: FIRM: FIRM: DATE? TIME: DATE: TIME: DATE: TIME: DATE: TIME:

III. RELINQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINT: PRINT: PRINT: 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:

IF YES EXFGR IN REMARKS BY:

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NYC-WTC_000027862Source: NYC Law Department, mirrored locally

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