NYC Law Department release
Independent mirror · updated as the City releases more · v1.2.6
← Document results/DEP Box 62/AE 05062
Document / 4 pages

Chain of custody form, NYC DEP sample AE05062, Mar 2002

Machine-extracted title · confidence 100%

Documentation recording the transfer and handling of a water sample submitted to Westchester County Department of Labs.

NYC-WTC_000074690–000074693

Folder label: “AE 05062

Page image
Scanned page image, NYC-WTC_000074690
OCR text

OCR status: ok · source: pdftotext

z z O o -p WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE 1 OF 1 CD

I i.o OF LABS & RESEARCH SDG# LABORATORY WESTCHESTER COUNTY ■D c CT o ADDRESS VALHALLA, NEW YORK o NAME o' o CONTACT CONTACT ____________________________ "0 o o SAMPLING AnalVsSS 03 o CD UXBORATORY SAMPLE PEST/ TSF PRESER^ COMMENTS O TYPE PCB METALS CN BOTTLES O SAMPLE NO. SAMPLE NO. DATE TIME VOA BNA VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC J o o c 3 foz. Q 3

I. SAM^ED RELINQ. BY 1. RECEIVED BY. ANALYSES/COMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: ----- siGN:n j SIGN: SIGN: PRINTT, print i q / - Z, PRINT: PRINT- FIRM; AA FIRM: FIRM: FIRM: DATE.b \2<^IME.IO'A7, DATE: 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:

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000074690Source: NYC Law Department, mirrored locally

Related records

Browse subjects →

Ranked by indexed similarity. Reasons describe shared subjects and filing context; check the source records.

Same-box records

Filed elsewhere

No available related records indexed in this group.

More like this page

Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.

Page similarity is temporarily unavailable or this page has no indexed vector.

Others also read

Readers open these alongside this record — through an Ask answer, the same folder, or indexed similarity. Not a claim they are about the same event.

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.

Similar indexed content

NYC-WTC_000073800 · Box DEP Box 62

Document tracking the custody and transfer of water samples submitted to Westchester County Department of Labs & Research.

Similar indexed content

Compare copies and versions →