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Chain of Custody Record, Sample AE03833, Feb 2002

Machine-extracted title · confidence 100%

Chain of custody documentation for water sample AE03833 transferred to Westchester County Department of Labs and Research in February 2002.

NYC-WTC_000073904–000073907

Folder label: “AE 03833

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Scanned page image, NYC-WTC_000073904
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Z zi. CHAIN OF CUSTODY RECORD’ yVESfCHESTER COUNTY DEPARTMENT o ol PAGE 1 OF I co OF LABS & RESEARCH

SDG# LABORATORY WESTCHESTER COUNTY -D '2 o o NAME CONTACT ADDRESS CONTACT VALHALLA, NEW YORK __________ ______________ c CT o' o ■a o o sampling ANALYSES 3. co LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS o SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) O o o c 3 I CD 2.

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I, SAMPLED^ND RELINQ, BY I. RECEIVED BY: / ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:^- SIGN: SIGN: SIGN: PRINT’S" • (L A PRINT: PRINT: PRINT: FiRM.U'^eoee AM FIRM: / FIRM: FIRM: I DATE*z\ ^^<S2.TIMe.\OTOS date: z//^^^TIME: DATE: TIME: DATE: TIME: 1 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_000073904Source: NYC Law Department, mirrored locally

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