Chain of custody record, Westchester County Labs, Feb 2002

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o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o PAGE OF co g OF LABS & RESEARCH

I o LABORATORY WESTCHESTER COUNTY ■D c o ADDRESS VALHALLA. NEW YORK CT o NAME o CONTACT /l.rrTS o' o CONTACT ____________________________ ■a o o cn SAMPLING ANALYSES 3. LABORATORY SAMPLE 03 00 PEST/ #OF PRESER­ COMMENTS SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN fee, BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC ) o o IlOb —€ I 4 o c 3 Ths 4: t 1 -1 CD

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I. SAMI BY I. RECEIVED BY; ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS; SIGN:' SIGNe-^ / SIGN: SIGN; PRINT; PRINT; PRINT; PRINT: FIRM;si'<c-J>EF’ FIRM: FIRM; FIRM; DATE:>x(^^^ TIME:|4-3o DATE::Z^-u TIME:/z/^g 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; 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;