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Chain of custody record, Westchester County Lab, Nov 2001

Machine-extracted title · confidence 90%

Chain of custody form for samples submitted to the Westchester County Department of Labs and Research in Valhalla, NY.

NYC-WTC_000070961–000070965

Folder label: “28468

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Scanned page image, NYC-WTC_000070961
OCR text

OCR status: ok · source: pdftotext

z z -< CHAIN OF CUSTODY RECORD O WESTCHESTER COUNTY DEPARTMENT co OF LABS & RESEARCH PAGE OF

'2 o o SDG# NAME LABORATORY ADDRESS WESTCHESTER COUNTY VALHALLA, NEW YORK “0 c CT o' o CONTACT |7lo.rz\S CONTACT _________________________ "0 o o CD SAM FLING ANALYSES O> LABORATORY SAMPLE PEST/ #OF PRESER­ COMMENTS 9L VC? O SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC ) o li^i-o)oi 05? < I / t. II o c E Ikb 3 CD Il [toJoi 0A14' KZ^bk Zt Jo 3

2^7^ 03<0 f^6-h bk X 3 z_k JO

I. GAMPLEB-AND RELINQ. BY I. RECEIVED BY; ANALYSES/COMMENTS: IV. RELINQUISHED. BY; IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN; J’, i/. SIGWr*^ /?J SIGN: SIGN: PRINTD.w/. PRINT: PRINT; PRINT: FIRM; FIRM: FIRM; FIRM; DATE;i, jT-o / 01 TIME: |34'O TIME:^.yo 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_000070961Source: NYC Law Department, mirrored locally

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