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Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

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

NYC-WTC_000072053–000072060

Folder label: “26476

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Scanned page image, NYC-WTC_000072053
OCR text

OCR status: ok · source: pdftotext

. ’ll z WESTCHtorA:<;OUNTY DEPARTMENT CHAIN OF CUSTODY l<^ORD O OF LABS & RESEAI,RCH PAGE OF i

'O| SDG# LABORATORY WESTCHESTER COUNTY ( "D

s NAME CONTACT ADDRESS CONTACT VALHALLA, NEW YORK _________________________ Io "0 KJ SAMPLING ANALYSES . o »■ O LABORATORY SAMPLE PEST/

s Ol #OF PRESER- 9L O COMMENTS SAMPLglO. SAMPLE NO. DATE TIME type , VOA Z BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC) O (i^Uzb I o o T /g • , 3 c

Ti in CD 3

I. SAW ;d ANALYSES/COMMENTS: IV. RELINQUISHED. BY; IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN; SIGN: SIGN: PRINT: PRINT: PRINT: FIRM: FIRM: FIRM; TIME;^rt^ATE; 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_000072053Source: NYC Law Department, mirrored locally

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