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Document / 5 pages

Chain of custody record, Westchester County Labs, Feb 2002

Machine-extracted title · confidence 95%

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

NYC-WTC_000073526–000073530

Folder label: “AE 03245

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Scanned page image, NYC-WTC_000073526
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Z Z WeVcHESTER county DEPARTMENT CHAIN OF CUSTODY RECORD o PAGE OF co OF LABS & RESEARCH

s o o SDG# NAME CONTACT f^<.rr\s LABORATORY WESTCHESTER COUNTY ADDRESS CONTACT VALHALLA. NEW YORK _________________________ “0 c CT o' o "0 Ca5 SAMPLING ANALYSES o SI LABORATORY SAMPLE PEST/ #OF PRESER­ 9L cr>i SAMPLE NO. SAMPLE NO. DATE TIME TYPE —TZaW VOA BNA PCB METALS CN St Io BOTTLES VATION COMMENTS (SPECIAL INSTRUCTIONS. CAUTIONS. ETC ) O o o c 3 I 5 CD 3

^^5 6y4< 4 I T

ESZ^

I. eAM^EI I. RECEIVED BY; ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY; ANALYSES/COMMENTS; SIGN: J.W. SIGN: SIGN: PRINT:D.M PRINT; PRINT: FIRM;A>fo-,W5r , FIRM: — FIRM: FIRM: 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: Vl. 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: 4*

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NYC-WTC_000073526Source: NYC Law Department, mirrored locally

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NYC-WTC_000073407 · Box DEP Box 62

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

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