Chain of Custody Record, Westchester County Lab, Mar 2002

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SDG# LABORATORY WESTCHESTER COUNTY “0 c ■2o 'JAME ADDRESS VALHALLA, NEW YORK CT o' o CONTACT CONTACT _________________________ "0 o o SAMPLING ANALYSES 9L o LABORATORY SAMPLE PEST/ #OF PRESER^ COMMENTS o O SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECiAL INSTRUCTIONS. CAUTIONS. ETC ) o o c 3 3 51^ Q 3

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1. SAMPLED AND RELINQ. BY I. RECEIVED BY: , ANALYSES/COMM ENTS; IV. RELINQUISHED. BY; IV. RECEIVED BY; ANALYSES/COMMENTS; PWNT-7^/'^ S1GN:l£Zu4^ SIGN: SIGN: PRINT.f,(U^WV^'^V| PRINT: PRINT: FIRM:' ^^/^^IME://-' -> - DATE:^aZ,.TIME: FIRM; FIRM; 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; 111. 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;