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Document / 4 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_000073597–000073600

Folder label: “AE 03263

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Scanned page image, NYC-WTC_000073597
OCR text

OCR status: ok · source: pdftotext

I WESTCHESTER COUNTY DEPARTMENT z z CHAIN OF CUSTODY RECORD -< o - OFTaBS & RESEARCH' PAGE_J_ OF.I o <D

s ■t ~ - SDG# NAME ~ LABORATORY ■ ADDRESS " WESTCHESTER COUNTY " VALHALLA, NEW YORK “0 c '2 o o CONTACf CONTACT __ ___________ ______________ o' o - SAMPLING ANALYSES "□ o LABORATORY’ SAMPLE PEST/ TOF PRESER­ o ' SAMPLE NO. SAMPLE NO. COMMENTS 9L tn DATE TIME TYPE VOA BNA PCB’^". METALS CN - BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC | co O o a .526’3 ■■2^ /o/oz. o c 3 CD 5"*^ ij lv/02. 0^ -22-

F&C>

. „ 1. SAMPLED AND RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:-'-®’— SIGN: SIGN:- - PRINT: PRINT: PRINT: PRINT: FIRM: EP Q nr FIRM: FIRM: FIRM: ' DATE:2//p /o 2^.TIME^-3^>» DATE: 2//o/o2JIME:<?>35- DATE: TIME: DATE: TIME: ’ ; II. RELINQUISHED BY:' II. RECEIVED BY:. ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY:' . ANALYSES/COMMENTS: SIGN: - SIGN: 0 ' SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: , FIRM: FIRM: .a 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: 4 ■

- EVIDENCE SAMPLES TAMPERED WITH:— NO - YES---- N/A SAMPLES DISPOSED OF ON: -i

IF YES EXPLAIN IN REMARKS BY:

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NYC-WTC_000073597Source: NYC Law Department, mirrored locally

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