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Chain of Custody Record, Sample AE03798, Feb 2002

Machine-extracted title · confidence 90%

Document tracking the custody and transfer of water samples submitted to Westchester County Department of Labs & Research.

NYC-WTC_000073825–000073829

Folder label: “AE 03798

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Scanned page image, NYC-WTC_000073825
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OCR status: ok · source: pdftotext

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Z CHAIN OF CUSTODY RECORD -o o-- WESTCHESTER COUNTY DEPARTMENT C0 OF LABS & RESEARCH PAGE OF §o LABORATORY WESTCHESTER COUNTY -D I SDG# c CT o NAME ADDRESS VALHALLA, NEW YORK o o' o CONTACT CONTACT _____________ _ ■0 o O w SAMPLING ANALYSES 3. 00 . M LABORATORY SAMPLE PEST/ #0F PRESER­ COMMENTS cn O SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS, ETC ) o o ZZ^^^ZZ 4 I c 3 CD Sts oW 4 I O

STtZ H4S I 4 1 FS^

1. DAM PLED RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: Z VO, SIGN- SIGN: SIGN: PRINT:'b.Wv^l?Tw5..^ PRINT:! PRINT: PRINT: FIRM: NYc-—dS-P FIRM: ^^iMEg/Ar^ FIRM: FIRM: PATE."^idQ2,TIME:|5^ DATE: 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:

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NYC-WTC_000073825Source: NYC Law Department, mirrored locally

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