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Chain of custody record, Westchester County Department of Labs

Machine-extracted title · confidence 95%

Document recording the chain of custody for environmental samples processed by the Westchester County laboratory.

NYC-WTC_000072290–000072293

Folder label: “25050

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Scanned page image, NYC-WTC_000072290
OCR text

OCR status: ok · source: pdftotext

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

§o SDG# LABORATORY WESTCHESTER COUNTY “0 c CT I NAME ADDRESS _ VALHALLA. NEW YORK o o' o CONTACT CONTACT "0 o o o SAMPLING ANALYSES ro LABORATORY SAMPLE 5L PEST/ #OF PRESER- COMMENTS CD o SAMPLE NO. SAMPLE NO. dat^ TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC) O o o 'n ' 1' □3:42. -it I ___ £ c 3 Q 3

I. SAMPI IQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY; IV. RECEIVED BY; ANALYSES/COMMENTS; SIGN; \ SIGN^—79 / SIGN; SIGN: PRINT; T^rinT: PRINT: PRINT; FIRM: /Uy. o-/)i9^-/<-cii.MiC FIRM: FIRM: FIRM; DATE:,o^f/o^ TIME;y^^^lDATI^//. 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;

ill. 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; >■ 1

IF YES EXPLAIN IN REMARKS BY: I

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NYC-WTC_000072290Source: NYC Law Department, mirrored locally

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NYC-WTC_000071383 · Box DEP Box 61

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

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