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o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD co
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LABORATORY WESTCHESTER COUNTY
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NAME ADDRESS VALHALLA. NEW YORK
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o CONTACT CONTACT _________________________ ■D
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Ca5 SAM PLING ANALYSES 3.
CD 03
LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS
SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC )
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3
3 CD
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ANALYSES/COMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY; ANALYSES/COMMENTS;
SIGN; SIGN;
PRINT: PRINT:
FIRM; 0^^ FIRM; FIRM;
DATE; TIME: DATE: TIME: DATE: TIME;
II A
II. RECEIVED BY;
II. RELINQUISHED 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:
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NYC-WTC_000073914Source: NYC Law Department, mirrored locally