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Chain of Custody Record, Westchester County Dept of Labs

Machine-extracted title · confidence 90%

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

NYC-WTC_000073296–000073299

Folder label: “AE 02602

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Scanned page image, NYC-WTC_000073296
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Z V^STCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o o- OF LABS & RESEARCH page) of t co

? 1" SDG# LABORATORY WESTCHESTER COUNTY “0 c o NAME ADDRESS VALHALLA, NEW YORK o CONTACT CONTACT _________________________ o' o o "0 Ca3 SAMPLING ANALYSES o LABORATORY SAMPLE PEST/ # OF PRESER- COMMENTS CD 9L O> SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION {SPECIAL INSTRUCTIONS, CAUTIONS. ETC ) O o o .3 c 3 o 3 5-^ 3 /o;t &

5 !1 I. SAMPLED AND RELINQ. BY I. RECEIVED BY; SIGN:&- — SIGN: ANALYSES/COMMENTS; IV. RELINQUISHED. BY: SIGN: IV. RECEIVED BY: SIGN: ANALYSES/COMMENTS:

PRINT-y. PRINT: PRINT; PRINT; I FIRM: PE-P Ak FIRM: FIRM: FIRM; I I? DATE:‘2.\^,\o-2. TIMEJO-.^o DATE: TIME: DATE: TIME: DATE: TIME: iI II. RELINQUISHED BYj-x II. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN; SIGN; 1 PRINT; PRINT; 1 i DATE'.2/^.2 TIME: FIRM: FIRM; j DATE:^\v^y;^TIME:rj\(P DATE: TIME: DATE: TIME:

III. RELINQUISHED BY^ > 111. RECEIVED BY; ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: SIGl'fe^^.^^Jf^^^ SIGN: SIGN: SIGN: PRINTS?: PRINT: PRINT; PRINT; FIRM:4^,P FIRM: FIRM: FIRM; DATE^y/;’^ TIME:^*;^ DATE: TIME: DATE: TIME: DATE; TIME: I EVIDENCE SAMPLES TAMPERED WITH: NO YES N/A SAMPLES DISPOSED OF ON: II IF YES EXPLAIN IN REMARKS BY: e

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NYC-WTC_000073296Source: NYC Law Department, mirrored locally

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