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Document / 8 pages

Chain of custody record, Westchester County Labs

Machine-extracted title · confidence 85%

Document recording the chain of custody for samples submitted to the Westchester County Department of Labs and Research.

NYC-WTC_000071265–000071272

Folder label: “27007

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Scanned page image, NYC-WTC_000071265
OCR text

OCR status: ok · source: pdftotext

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-< CHAIN OF CUSTODY RECORD o o WESTCHESTER COUNTY DEPARTMENT PAGE l OF I co g OF LABS & RESEARCH o SDG# LABORATORY WESTCHESTER COUNTY “0 I c o ADDRESS VALHALLA, NEW YORK- CT o NAME o o' o CONTACT CONTACT ______________________ "0 o KJ • SAMPLING ANALYSES C3> cn . LABORATORY SAMPLE PEST/ FOF PRESER­ COMMENTS 9L SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC) O o o c S3 TTt^ 3 CD

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ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: PRINT: S. PRINT: Dfiry] n PRINT: PRINT: FIRM: FIRM: 4 FIRM: FIRM: DATE; 11/3/01 TIME: DATE: y/5/i?i TIME:y|:^ DATE: TIME: DATE: TIME: J II. RELINQUISHED BY: II. RECEIVED BY; ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN. SIGN; SIGN: SIGN; PRINT: PRINT: PRINT: PRINT: I FIRM: FIRM: FIRM: FIRM: i TIME: DATE: TIME: DATE: TIME: DATE: TIME: DATE:

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_000071265Source: NYC Law Department, mirrored locally

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