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Document / 8 pages

Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Document recording the transfer and receipt of environmental samples at the Westchester County laboratory.

NYC-WTC_000072080–000072087

Folder label: “26532

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Scanned page image, NYC-WTC_000072080
OCR text

OCR status: ok · source: pdftotext

Z z ■< WESTCHES™ COUNTY DEPARTMENT CHAIN OF CUSTODY ||CORD PAGE / O o o OF LABS&vbkRCH co

g SDG# LABORATORY WESTCHESTER COUNTY ■D C NAME ADDRESS VALHALLA. NEW YORK CT o o' o CONTACT CONTACT _______________________ o ■a o o SAWPDNG ANALYSES 3. ro LABORATORY SAMPLE PEST/ #OF o PRESER- COMMENTS oo SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC ) o O o o c >13 3 CD Z5 <■liUtL

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I. SAMPLEDI^IDIRELINQ. BY I. REC V ANALYSES/COMMENTS: IV, RELINQUISHED. BY; IV. RECEIVED BY: ANALYSES/COMMENTS; SIGNr—' SIGN; ‘ 4-1 Lj SIGN; SIGN: PRINT; V.'TlG.LAo PRINT: PRINT; PRINT: FIRM: Qy e, r FIRM: . FIRM: FIRM: DATE; 16-3o.-o|T1ME: DATE:, VA . 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_000072080Source: NYC Law Department, mirrored locally

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