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O WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD co
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H OF LABS & RESEARCH PAGE OF
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NAME 0 Idz-tjioo C< $ ADDRESS VALHALLA, NEW YORK o'
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CONTACT _______ CONTACT ____________________________ "0
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o SAMPLING ANALYSES
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KJ LABORATORY SAMPLE PEST/ jro? # OF PRESEFT COMMENTS O
SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS, ETC ) o
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I. SAI^^^^t ■I. RECEIVED BY; ANALYSES/COMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS:
SIGNT'^'^ SIGN: SIGN:
PRINT;'>' K'l-* Jl l\jc. PRINT; £7 PRINT; PRINT;
FIRM.-^Tt^'^^ FIRM: FIRM: FIRM:
DATE;Z//zz/6. TIME:/y3j- 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:
1 IF YES EXPLAIN IN REMARKS BY:
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NYC-WTC_000071002Source: NYC Law Department, mirrored locally