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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_000074851–000074856

Folder label: “AE 05235

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o #1 o io WESTCHESTER COUNTY DEPARTMENT OF LABS & RESEARCH CHAIN OF CUSTODY RECORD PAGE OF co

■D I c o SDG# LABORATORY WESTCHESTER COUNTY CT o o o NAME U p Z-fU?. ADDRESS VALHALLA. NEW YORK o' ■D CONTACT fY CONTACT o 3. cn 1 sampling LYSES 9L LABORATORY SAMPLE PEST/ #OF PkfeSER- COMMENTS O S^P^^. SAMPLE NO. a TIME VOA SNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC.) o o _J__ c 3 _J___ CD

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it 12^ J. RECEIVED BY: I. ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY; ANALYSES/COMMENTS: SIGN: Qli SIGN: SIGN: PRINT PRINT: PRINT: FIRM: FIRM: FIRM; DATE: ^«2^IME^r/6) DATE: TIME: DATE: TIME;

II. RELII (ISHED 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: SION: SION; 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_000074851Source: NYC Law Department, mirrored locally

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