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Chain of Custody Record, Westchester County Lab, Mar 2002

Machine-extracted title · confidence 100%

Chain of custody documentation for environmental samples transferred to the Westchester County Department of Labs and Research in Valhalla.

NYC-WTC_000074708–000074718

Folder label: “AE 05153

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Z o O WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD co PAGE I OF h s OF LABS & RESEARCH

SDG# LABORATORY WESTCHESTER COUNTY “0 c '2 o o NAME CONTACT I ADDRESS CONTACT VALHALLA, NEW YORK _________________________ CT o' o "0 sampling o ANALYSES LABORATORY SAMPLE PEST/ #0F ^»>,| PRESER- 9L o COMMENTS 00 SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. ETC J O o o c loS-^ 3 o 3 <z'

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FI3 o 'SB? 3757 TZ ■ 7l 1. SAMPLED AND RELINQ. BY I. RECEIVED BY: f, ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: PRINT; PRINT: PRINT: FIRM; , . X FIRM: IaM-i VI _ U X FIRM: FIRM: DATE: DATE:;^jq|g^TlME:)P> 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;

111. 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_000074708Source: NYC Law Department, mirrored locally

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