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Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Record documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000070207–000070214

Folder label: “27951

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Scanned page image, NYC-WTC_000070207
OCR text

OCR status: ok · source: pdftotext

z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE___ L OF__ 1 o z <o OF LABS & RESEARCH o -D SDG# LABORATORY WESTCHESTER COUNTY g-1 NAME ADDRESS VALHALLA. NEW YORK c CT

'2' o O : CONTACT SAMPLING CONTACT ___________________ ' ANALYSES o' ■0 o 3. O LABORATORY SAMPLE TEST? »OF PRESER- COMMENTS O SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA SNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC) O ro o o o c

2=^ Il 3 CD 3. nJ lil" Jtw

II

// ts.

5 1. SAMPLED AND INQ. BY I. RECI ANALYSES/COMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN; SIGN: SIGN; SIGN: PR*NT; PR’NT: , . ■ Cl PRINT; PRINT; FIRM: FIRM: . FIRM: FIRM: DATE: /mGf TIME: 'DATE: H ) TIME:^ DATE: TIME: DATE: TIME:

II. RELINQUISHED BY; II. 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 EXPLAIN IN REMARKS BY:

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NYC-WTC_000070207Source: NYC Law Department, mirrored locally

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