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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_000071383–000071386

Folder label: “27113

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Scanned page image, NYC-WTC_000071383
OCR text

OCR status: ok · source: pdftotext

z z o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o co s OF LABS & RESEARCH PAGE OF

I o SDG# LABORATORY WESTCHESTER COUNTY “0 c o NAME ADDRESS VALHALLA, NEW YORK CT o o o' o CONTACT CONTACT _________________________ "0 o o SAM PLING ANALYSES 03 00 o LABORATORY SAMPLE PEST/ #OF PRESER­ COMMENTS SAMPLE Ng SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION o ZZnXpZ Ogoo HoUUlg /^ S zzz I « (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) o o c 3 Q ZT 7t n 3

ZZ ZT lb

I- RECet Bky ANALYSES/COMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN;t:^ SIGN: SIGN: PRINT; V.uO. PRINT; print; PRINT: FIRM: FIRM: FIRM; FIRM: DATE:„lrjol TIME;, 7-^0 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:

HI. RELINQUISHED BY; 111. 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_000071383Source: NYC Law Department, mirrored locally

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