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Document / 4 pages

Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Record tracking the custody of samples submitted to the Westchester County Department of Labs & Research.

NYC-WTC_000072267–000072270

Folder label: “25047

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Scanned page image, NYC-WTC_000072267
OCR text

OCR status: ok · source: pdftotext

zl WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o PAGE OF co OF LABS & RESEARCH s! 1^^ SDG# LABORATORY WESTCHESTER COUNTY -D c o NAME ADDRESS VALHALLA, NEW YORK CT o CONTACT _________________________ o’ o CONTACT o "D O ro SAMPLING ANALYSES 3. ro LABORATORY SAMPLE PEST/ #OF PRESER­ COMMENTS 03 o> SAMPLE NO SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC) o o na 15 1//

n I 3 /____ _J__ -JL— -J-G— 10 o c 3 CD -4---- 3

Z I. SAI^fep ANALYSES/COM M ENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: I. RECEIVED BY; ANALYSES/COMMENTS: SIGN; ,------- SIGN; SIGN; PRINT; / PyRIN’ PRINT: PRINT: FIRM; FIRM; FIRM; DAJE:^(Hg6{ TIME:to!67 DATE/o 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:

111. 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 EXP^ IN REMARKS BY:

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NYC-WTC_000072267Source: NYC Law Department, mirrored locally

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