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Chain of custody record, Westchester County Lab, Nov 2001

Machine-extracted title · confidence 95%

Form documenting the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000071089–000071096

Folder label: “26827

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Scanned page image, NYC-WTC_000071089
OCR text

OCR status: ok · source: pdftotext

Z z WESTCHESMt COUNTY DEPARTMENT CHAIN OF CUSTODY^CORD PAGE L(^1 o o OF LABS & I^EARCH SS

I SOG# LABORATORY WESTCHESTER COUNTY -0 c c o o NAME CONTACT ADDRESS CONTACT VALHALLA. NEW YORK _________________ ' CT o' ■0 o o SAMPLING _YSES a. o LABORATORY SAMPLE PEST/ #0F PRESER- COMMENTS 00 co SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC | o o o c HU 3 CD

Hz 3.

11

23/5D /o/tT<zi^ 26-^^ I

7 I I

1. SAMPLEDRELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS; SIGN-.g.j>—. SIGN>-«*-^7^ SIGN: SIGN: PRINT; M, PRINT: PRINT; PRINT: FIRM: FIRM: FIRM: FIRM: DATE:^,^^^^ TIME: DATE:///zZ, 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 SAMPLES DISPOSED OF ON:

IF YES EXPLAIN IN REMARKS BY:

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NYC-WTC_000071089Source: NYC Law Department, mirrored locally

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