Chain of Custody Record, Sample AE03388, Feb 2002

z Z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o ID &F LABS & RESEARCH PAGE OF

'2 o o SDG# NAME LABORATORY WESTCHESTER COUNTY ADDRESS VALHALLA. NEW YORK “0 c CT o' o CONTACT CONTACT _________________ "0 Ca5 o O> SAMPLING ANALYSES O> LABORATORY SAMPLE 9L PEST/ #OF PRESER­ COMMENTS SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN Sc BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS, ETC ) O o O’Joo 4 (. 11 o -J— c 3 6g if 4 3 CD 3

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I. RELINQ. BY I. RECEIVED BY: , ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN; C signUXU^-W'^ SIGN; SIGN: PRINT; bzvy PRINT; (7 PRINT: PRINT: FIRM; FIRM: FIRM: FIRM: DATE: ^)^(^^TIME;j^^ pATE2{^T^TIME:v^< 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: 111. 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;