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Chain of custody record with sampling and analysis fields

Machine-extracted title · confidence 90%

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

NYC-WTC_000072929–000072937

Folder label: “AE 01910

Page image
Scanned page image, NYC-WTC_000072929
OCR text

OCR status: ok · source: pdftotext

z o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD SS 5 OF LABS & RESEARCH PAGE I OF/ __x

“D LABORATORY WESTCHESTER COUNTY c SDG# NAME /Ju ADDRESS VALHALLA, NEW YORK o' “0 CONTACT CONTACT _________________________ o p. sampliMg ANALYSES 9L LABORATORY SAMPLE PEST/ # OF PRESER­ COMMENTS O SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION o (SPECJAL INSTRUCTIONS, CAUTIONS. ETC ) o c 3 3 / IIOZ o 3

SIS. ^>'.0 9

/ /x-‘//ox- / / 05~Q

11 /oz. /2^ I I OZ

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I. SAMPI^D AND RELINQ. BY ANALYSES/COMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN, -------- SIGN: SIGN: PRINT:^ •G/’-' PRINT: PRINT; FIRM: FIRM: FIRM: FIRM; DATE. / - ^TIME/0 DATE; TIME: DATE; TIME:

II RELINQUISHED 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_000072929Source: NYC Law Department, mirrored locally

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