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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_000074874–000074879

Folder label: “AE 05239

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Z z o o

I i o WESTCHESTER COUNTY DEPARTMENT OF LABS & RESEARCH CHAIN OF CUSTODY RECORD PAGE OF co

■D o c o CT o SDG# ABORATORY WESTCHESTER COUNTY o NAME SslZZZ^Z^^ -\DDRESS VALHALLA. NEW YORK o' "0 o co CONTACT CONTACT sampling MilLYSES 9L LABORATORY SAMPLE PEST/ TSP PRESER- COMMENTS O o o

i SAMPLE NO. SAMPLE NO. DATB TIME <0A BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS, ETC.) c 3 5 0 i ziz CD 3 I 5 2,

2te I.SAM^ED I. RECEIVED BY: ANALYSES/CCIMMENTS; IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: F9*-^ZZLl ,SIGN;-<^. SIGN: SIGN: PRINT: PRINT:€:,|^^ PRINT: PRINT: FIRM:-^/O-/^^ . FIRM: FIRM: FIRM: DATE: date^^jime^- DATE: TIME: DATE: TIME: IL RELINQUISHED BY: II. RECEIVED BY: ANALYSES/CC IMMENTS: 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:

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NYC-WTC_000074874Source: NYC Law Department, mirrored locally

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