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Chain of custody record, Sample AE04032, Feb 2002

Machine-extracted title · confidence 100%

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

NYC-WTC_000074174–000074178

Folder label: “AE 04032

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Scanned page image, NYC-WTC_000074174
OCR text

OCR status: ok · source: pdftotext

z z o CHAIN OF CUSTODY RECORD o ■' WESTCHESTER COUNTY DEPARTMENT i 1^ OF LABS & RESEARCH PAGE OF co

■D o SDG# LABORATORY WESTCHESTER COUNTY c o NAME ADDRESS VALHALLA, NEW YORK CT o o' o CONTACT TFv- CONTACT _________________________ "0 o SAMPLING ANALYSES 03 -IS- LABORATORY SAMPLE PEST/ tot #OF PRESER­ COMMENTS SAMPLE NO. SAMPLE NO. DATE TIME TYP^ VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC) O o _±. I C II o c 3 o MH ± i 4 A 3

6-P'06iri I ± 5

I. SAWftLEO A^iRELINQ. BY I. RECEIVED BY; . ANALYSES/COMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: f. Ia/, SIGlM^^U^-'J^*— SIGN: SIGN: PRINT:b,Vv>. PRINT: PRINT: PRINT: FIRM: »4yc FIRM: FIRM: FIRM: DATE:->(,^ (o^TIME:(z^^ DATE-XI|i/(i2JJME: DATE: TIME: DATE: TIME:

II. RELINQUISHED BY: II. RECEIVED BY: ANALYSES/COMMENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COM M ENTS: 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_000074174Source: NYC Law Department, mirrored locally

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