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Chain of Custody Record, Westchester County Lab, Feb 2002

Machine-extracted title · confidence 100%

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

NYC-WTC_000074267–000074275

Folder label: “AE 04330

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Scanned page image, NYC-WTC_000074267
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OCR status: ok · source: pdftotext

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z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE I OF t o o OF LABS & RESEARCH CD

I i o SDG# ____________________________ jUu CbtZ* LABORATORY WESTCHESTER COUNTY “0 c o NAME ADDRESS VALHALLA, NEW YORK CT o CONTACT CONTACT _________________________ o' o o "0 SAMPLING ANALYSES o KJ LABORATORY SAMPLE PEST/ Tof PRESER- COMMENTS 9L O> SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC | O o o 3. ESI c 3 Q 3

11 ggp tJ-i-i lo-j.

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3^S0 y/-j. 11 oz.

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I. SAMPLED AND RELINQ. BY I. RECI M ANALYSES/COM MENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY; ANALYSES/COMMENTS: SIGN;( SIGN; SIGN; PRINTJtUlJy/ /e?0 PRINT: PRINT: PRINT: FIRM:/06/^ FIRM; FIRM: FIRM: DATE; DATE: TIME: DATE: TIME:

II. RELINQUISHED BY: IL 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;

EXPLAIN IN REMARKS BY:

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NYC-WTC_000074267Source: NYC Law Department, mirrored locally

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