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Document / 8 pages

Chain of custody record for DEP samples, February 2002

Machine-extracted title · confidence 95%

Form documenting the transfer and analysis of environmental samples collected by the Department of Environmental Protection.

NYC-WTC_000073274–000073281

Folder label: “AE 02595

Page image
Scanned page image, NYC-WTC_000073274
OCR text

OCR status: ocr · source: ours

vZZ€Z0000 OLMA-OAN WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD | OF LABS & RESEARCH pace_|_oF_| SOG# LABORATORY _WESTCHESTER COUNTY NAME NuCchece ADDRESS VALHALLA, NEW YORK CONTACT ~ CONTACT — SAMPLING ANALYSES LABORATORY SAMPLE PEST A004 OF PRESER- COMMENTS SAMPLE NO. [SAMPLE NO. [DATE TIME TYPE VOA |BNA {PCB METALS|CN [2 al BOTTLES | VATION _ | (SPECIAL INSTRUCTIONS, CAUTIONS, ETC} sa kL. r 3 Od si) |2/Z2fo ot 43 = — 52 O35 7, lzl 2 Tos! oF714 = = 1450 | Se3] [2] 7 foal 0% 00 = = 021994 25150} 32637 |2f } fort OCF = = OL99K | 2/450 b¢bh i2z/ 1 fou O¢¢ = = DAT I 1 VISE BOG? ai NfowN (QS 1. \ = — eS 9) RE SEN BE SS NS SR ee heh EL750 | S2oGOF zi} fo2| OY5 i = a wa CO ALCO. E@b Ost ot LATA |. SAMPLED AND RELINQ. BY|!. RECEIVED BY; ANALYSES/COMMENTS: |IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALY SES/COMMENTS: SIGN: Hef SIGN: et SIGN: SIGN: PRINT: MY YACOUB PRINT: B.C (7 6 PRINT: PRINT: FIRM: D EP FIRM:c x 2 FIRM: FIRM: DATE: 2/2260 2TIME:10: SUMPDATE: 2/2/22. TIME/2:37 DATE: TIME: DATE: TIME: . HN. RENO EN Il. RECEIVED By: NALYSESICOMME iB V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: Y SIG eH check-agH/or | SIGN: SIGN: PRINT: pay PRINT Leaps 6 vy men PRINT: PRINT: FIRM: FIRM: (4 ak pus FIRM: FIRM: DATE: Wie Jo2- TIME) 09 DATE:2/4/22. TIME: ase DATE: TIME: DATE: TIME: Ne RELINQUISH D BY: Ill. RECEIVED BY: ANALYSES/COMMENTS: | VI, RELINQUISHED BY: VI. RECEIVED BY: ANALY SES/COMMENTS: SIGN; ; SIGN: SIGN: SIGN: PRINT: Dennis 67 Qdeternit PRINT PRINT: PRINT: FIRM:2., FIRM: FIRM: FIRM: DATE: 2/47/02 TIME: Gp OATE TIME: DATE: TIME: DATE: TIME: EVIDENCE SAMPLES TAMPERED WITH: NO YES NYA SAMPLES DISPOSED OF ON: IF YES EXPLAIN IN REMARKS BY: JUNIO |BYOd I!NGNd 11/6 DAN

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NYC-WTC_000073274Source: NYC Law Department, mirrored locally

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