Chain of custody record, Westchester County Labs, Nov 2001

z Z s WESTCHESTER COUNTY DEPARTMENT OF LABS & RESEARCH CHAIN OF CUSTODY RECORD PAGEjZ OF o CD

“0 LABORATORY WESTCHESTER CPUjJiT c '2 o o SDG# NAME k CONTACT XJW EZEE ADDRESS CONTACT VALHALLA. NEW YORK CT o' "□ o o o SAMPLING LYSES LABORATORY SAMPLE PESTT #OF PRESER- COMMENTS TYPE METALS CN O SAMPLE NO. SAMPLE NO. DATE TIME VOA SNA PCB BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC.) o o 7T.77 / ^7*/ hi P^4-Jk -J-,— AlAOr) c 717 g h (Hhi oyz-o “X i H U/0 0 3 o 7X7*1 2.7 V&f ZM la O*ioo 3

2.7^&1Z. Jo_l£/si. I HIU6-3 7t4g 27¥&3 (o /rhi /ar» Z 71*17 7Oir 27^£i>& /O/ihi /0 7&7<>i /g

ovir r 4-X I I I tint-, 73/C - •So n 27^£»7 //- Zai octjr X ( Mak 1 ■■■111 r k 1 Zt <v«, 7323 27yfe7 jo (7hl o7J'7 X t 7034 27Y7O h 11 hl Ik X I L ZEaZ 7 34*^ 27^7/ ^V77. iQiS'bi oyoo X I 7 34"^ 2.7^73 AkJic X —J—. y 2.7^7¥ /o /yA» titj' ■ X 1 •7 27 zo 71 Ai l i ijr X I 4 7.7¥7C, /d h hi A4<J/< X 73 ^7^77 /Hijr _2<— I Htya], '6 k I .2$^__ fi

LSAMgUSPA lELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: )V. RELINQUISHED. BY: IV. RECEIVED BY; ANALYSES/COMMENTS: » SIGN:^k>- ! SIGNi-g**-;,, SIGN: SIGN: PRINT: P.vU. PRINT:^.<^V»».^ PRINT: PRINT: FIRM: ►^VC-D1*P FIRM; er/- FIRM; FIRM; TIME:)4^(, DATB^/g/s) TIME:/y.'5o 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:

111. 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;