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Chain of Custody Record, Westchester County Dept of Labs

Machine-extracted title · confidence 90%

Document tracking the transfer of environmental samples to the Westchester County Department of Labs and Research.

NYC-WTC_000073432–000073436

Folder label: “AE 03014

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Scanned page image, NYC-WTC_000073432
OCR text

OCR status: ok · source: pdftotext

z Z o ^WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o PAGE OF co § OF LABS & RESEARCH

'2 o o SDG# NAME LABORATORY WESTCHESTER COUNTY ADDRESS VALHALLA. NEW YORK “0 c CT

o o' CONTACT CONTACT _________________________ "0 co o SAMPLING ANALYSES Ca3 03 ro LABORATORY SAMPLE PEST/ # OF PRESER­ comments SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC ) O o 30/^ “T I *3 o c 3 17 ZZ^SE 41 1 CD

3d/G It<7) U(P 4. I E Ji

■g’C’/J?

RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY; ANALYSES/COM M ENTS: SIGN: f’lJ, SIGN: I SIGN; SIGN: PRINT: b vJ> PRINT; PRINT: PRINT: FIRM:P‘<c,b^f FIRM; FIRM: FIRM: DAT&2(Ho2xTlh^^ DATE: DATE: TIME: DATE: TIME:

11. 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:

HI. RELINQUISHED BY: HI. 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_000073432Source: NYC Law Department, mirrored locally

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