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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_000070392–000070394

Folder label: “28171

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Scanned page image, NYC-WTC_000070392
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WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE ( OF / ■<

o OF LABS A RESEARCH co

SOG# LABORATORY WESTCHESTER COUNTY NAME 5 ADDRESS VALHALLA. NEW YORK -0 c CT CONTACT CONTACT _________________ ••

I o' • SaMf^LING ANALYSES "0 o LABORATORY SAMPLE TC5TT • OF rneScK- ismiai TS p. SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN (9 BOTTLES VATION (SPGCIM. mSTRUCTiONS. CAUTIONS. ETC t KJ • O o II /is o c I 3 i ss 011^ 0^'34 CD 3

I. SAMI ,AND/RELINQ. BY ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SION: PRINT: PRINT: FIRM; , FIRM: UK, * FIRM: FIRM; DATE:njlt 01 TIME;lO:ol/^ DATE:ufl^O DATE TIME: DATE: TIME: IL RELINQUISHED.BY; II. RECEIVED BY: ANALYSES/COMMENTS: V. REUNQUISHED 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. REUNQUISHED BY: III. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY; ANALYSES/COMMENTS; SIGN; SIGN: SION: SION: PRINT; PRINT: PRINT: PRINT: FIRM: FIRM; FIRM; FIRM: i DATE: TIME: DATE: TIME DATE TIME DATE: TIME J EVIDENCE SAMPLES TAMPERED WITH; NO___ YES N/A SAMPLES DISPOSED OP ON: I IP YES EXPLAIN IN REMARKS BY:

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NYC-WTC_000070392Source: NYC Law Department, mirrored locally

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