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Document / 5 pages

Chain of custody record, Sample AE04028, Feb 2002

Machine-extracted title · confidence 100%

Document tracking sample transfer to Westchester County Department of Labs and Research.

NYC-WTC_000074152–000074156

Folder label: “AE 04028

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Scanned page image, NYC-WTC_000074152
OCR text

OCR status: ok · source: pdftotext

z ! Z o o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD co OF LABS & RESEARCH PAGE OF “0 o SDG# LABORATORY WESTCHESTER COUNTY c o ADDRESS VALHALLA. NEW YORK CT o NAME o o' CONTACT CONTACT _______________________ __ "0 o tn SAMPLING ANALYSES KJ LABORATORY SAMPLE PEST/ # OF PRESER­ 9L COMMENTS SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC.) O o o I ___ c 3 CD 0?<0 Uk- I ± <? 3

iSK 1 10

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I. RELINQ. BY I. RECEIVED BY: , ANALYSES/COM M ENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:/’,H SIG^(zil/fVM>V--- SIGN: SIGN: PRINT; PRINT; PRINT; PRINT; FIRM; Myc.-C>I>P FIRM; /TV V FIRM: FIRM: DATE.-t^ic^I^-tx TIME:|<^-5y DATE:^/fc,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:

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NYC-WTC_000074152Source: NYC Law Department, mirrored locally

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NYC-WTC_000074243 · Box DEP Box 62

Documentation tracking the custody and transfer of environmental samples to the Westchester County Department of Labs and Research.

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