Chain of custody record, Westchester County Department of Labs

Z o z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE OF o OF LABS & RESEARCH “0 c SDG# . LABORATORY WESTCHESTER COUNTY o' '2 o o name CONTACT J . S ADDRESS CONTACT VALHALLA. NEW YORK _ _________________ "□ o Z3- o SAMPLIN' ANALYSES ro LABORATORY SAMPLE PEST/ #OF PRESER­ COMMENTS O o tAi 03 SAMPLE-JJO. SAMPLE NO. we-. TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC.) o c o _J__ & /I 3 S L HL 3 o :3

z 7 I. sam™ I. RECEIVED BY; ANALYSES/COMMENTS; IV. RELINQUISHED. BY; IV. RECEIVED BY; ANALYSES/COMMENTS; SIGN; SIGN; SIGN.-V^ • SIGN; PRINT; W PRINT:£;^-^,^ PRINT;.^.--^ FIRM; FIRM: 4.4- , FIRM;^"< xi DATE; TIME; DATE:/g,^^"^-) TIME: 3/DATE: TIME:3.'*r

II. RELINQUISHED BY; II. RECEIVED BY; ANALYSES/COMMENTS; V. RELINQUISHED BY; V. RECEIVED BY; ANALYSES/COMMENTS; SIGNf^'*’^ / SIGN;*^- SIGN; SIGN; PRINT: PRINT; PRINT; PRINT; FIRM; FIRM; FIRM; FIRM; DATE; TIME; DATE; TIME; DATE; TIME;

HI. RELINQUISHED BY; III. RECEIVED BY; ANALYSES/COMMENTS; VI. RELINQUISHED BY; VI. RECEIVED BY; ANALYSES/COMMENTS; SIGN; SIGN?’*—z SIGN; SIGN; PRINT; PRINT; PRINT; PRINT; FIRM; FIRM; / FIRM; FIRM; PATE. /,/,r4 TIME;3,g^ DATE; TIME; DATE; TIME;

EVIDENCE SAMPLES TAMPERED WITH; NO YES N/A SAMPLES DISPOSED OF ON;

IF YES EXPLAIN IN REMARKS BY;