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Chain of custody form, Westchester County Labs, Oct 2001

Machine-extracted title · confidence 95%

Fragmented chain of custody record for samples submitted to Westchester County Department of Labs and Research.

NYC-WTC_000072702–000072709

Folder label: “25839

Page image
Scanned page image, NYC-WTC_000072702
OCR text

OCR status: ok · source: pdftotext

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o o i o WESTCHESTER COUNTY DEPARTMENT OF LABS & RESEARCH CHAIN OF CUSTODY RECORD PAGE[ OFJ. co

■D I SDG# LABORATORY WESTCHESTER COUNTY c o CT o o NAME ADDRESS VALHALLA. NEW YORK o' o "0 CONTACT CONTACT _________________________ o KJ o sampling ANALYSES 9L KJ LABORATORY SAMPLE PEst/ #OF PRESER- COMMENTS O SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC ) o o c 3 ^73 t0/2O CD 3

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I. SAMPI INQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN; SIGN: ............................. PRINT; PRINT: PRINT: FIRM: 1> £P FIRM: . FIRM: FIRM: DATE: lol 2D jo] TIME: /l,'P2A 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 EXPLAI REMARKS BY:

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NYC-WTC_000072702Source: NYC Law Department, mirrored locally

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