Chain of Custody Record, Samples AE03434/3454, Feb 2002

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'2 o o SDG# NAME AJU CbVP ADDRESS CONTACT VALHALLA, NEW YORK _________________________ o' "0 o o CONTACT ANALYSES 03 o SAMPLirlG cn LABORATORY SAMPLE PEST/ #OF PRESER­ O 00 COMMENTS o KJ TYPE VOA BNA PCB METALS CN BOTTLES VATION SAMPLE NO. SAMPLE NO. DATE TIME (SPECIAL INSTRUCTIONS. CAUTIONS. ETC ) o c 3 •2^11 2^102^ o 3 3

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3.41 fenz I. SAMPLI AND RELINQ. BY I. RECEIVED BY; ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: I SIGN; THmTz SIGN: SIGN: PRINT: PRINT; JW 6X2 PRINT: PRINT: FIRM:' f IRM; ' FIRM: FIRM: DATE; TIME:\y^' DATE; 3,/^ /g^TIME; 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: