Chain of custody record, Westchester County Labs, Nov 2001

r z» z o X o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE I OP CD

OF LABS & RESEARCH §o LABORATORY WESTCHESTER COUNTY -D c I SDG# ___ CT o NAME ADDRESS VALHAL LA. NEW YORK o' o o CONTACT •D o CONTACT o o p- SAMPLING lYSES 03

o LABORATORY SAMPLE PeST/ PRESER- Comments o o SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB I METALS CN BOTTLES VATION (SPEOAL INSTRUCTIONS. CAUTIONS. ETC.) o 2.7^*^! Pc)-^<c.U< X I c 3 2,7*7 oq^o I CD 7b ±7*7*73 *177,8 7fi o q'3'7 I 3. .211-3- 27*7*7*7 oTjrr /fa A i 7IIH 27*7*77j 5 ivihi o gxc K I 7fT,7 2.7W6 *ili*i7fi (coo X I 7(70 27*7*71 *=f /3o 7f t oiio ro4-r..l (« _2S— ---- 1----- 74^ ? “QI 71 77*7 *7!f *i77<f7fi osnr' X __L__ 77ttl<s^ X/ *

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I. SAMGbEDANB RELINQ. BYll. RECEIVED BY; ANALYSES/COMMENTS; IV. RELINQUISHED. BY; IV. RECEIVED BY; ANALYSES/COMMENTS; SIGN:?St^. SIGN: SIGN: PRINT; PwV^. PRINT; PRINT: PRINT: FIRM; oJTt FIRM: 7^^ FIRM: FIRM; DATE:ufg)o, TIME|4>^o 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 S/KMPLES DISPOSED OF ON:

IF YES EXPLAIN IN REMARKS BY: