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Document / 5 pages

Chain of custody record, Sample AE04036, Feb 2002

Machine-extracted title · confidence 100%

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

NYC-WTC_000074196–000074200

Folder label: “AE 04036

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Scanned page image, NYC-WTC_000074196
OCR text

OCR status: ok · source: pdftotext

z z o V\SSTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o i OF LABS & RESEARCH PAGE OF co

“0 o SDG# LABORATORY WESTCHESTER COUNTY c o CT o NAME ADDRESS VALHALLA. NEW YORK o o' CONTACT "V; CONTACT _________________________ "0 o CD SAM PLING ANALYSES 03 O> LABORATORY SAMPLE PEST/ #OF PRESER­ COMMENTS SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS ON S <^^**-* BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC) o o 6 o OS1± I H c 3 CD BEuii 0410 4- ( f 3

(2£o^H Io 0*6 4- 4- 4 1*2, yje-C z.sa/!;'. 11 .4 Liv- pe-vZ __ ^^£2^___ k.thg-s

I. 0AMPt£D RELINQ. BY I. RECE,iyED BY: . ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN:^.vJ. SIGN:IJ4'IaW^'^ SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: FIRM: FIRM: DATE:>^f^/„3^TIME:;^ DATE^ultfz^TIM&ltP’ 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_000074196Source: NYC Law Department, mirrored locally

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NYC-WTC_000074358 · 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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