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Chain of Custody Record, Westchester County Lab, Mar 2002

Machine-extracted title · confidence 95%

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

NYC-WTC_000074897–000074906

Folder label: “AE 05301

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Scanned page image, NYC-WTC_000074897
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z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD o OELABS& RESEARCH PAGE 1 OF I SS _A o io SDG# NAME LABORATORY ADDRESS WESTCHESTER COL VALHALLA. I YORK -a c CT o' 'o CONTACT CONTACT o ■0 o o o — '''I 1 LYSES 3. LABORATORY SAMPLE PEST/ SAMPLE NO. SX<MPLE NO. DATE #OF PRESER- COMMENTS co TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECaAL INSTRUCTIONS. CAUTIONS. ETC ) O co o o c 3 3 1 I I T CD O

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I. SAMPLED .INQ. BY I. RECI |Y: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN; PRINT: SIGN; < PRINT: i SIGN: PRINT: PRINT: ■5 FIRM: FIRM; ' I FIRM: FIRM; i DATE; TIME: DATE: i6l0 DATE: TIME:

II. RELINQUISHED BY: II RECEIVED BY: ANALYSES/COMP^ENTS: V. RELINQUISHED BY: V. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: I SIGN: SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: I FIRM: FIRM: DATE; TIME: DATE: TIME: DATE: TIME: DATE: TIME: I

III. RECEIVED BY: ANALYSES/COMMENTS: Vt. RELINQUISHED BY: VI. RECEIVED BY: ANALYSES/COMMENTS: IILREUNQUISHEDBY: SIGN: SIGN: SIGN; SIGN: PRINT: PRINT: PRINT: PRINT: FIRM: FIRM: ! FIRM; FIRM: TIME: DATE: TIME: DATE: TIME: DATE: TIME: DATE: YES N/A ! SAMPLES DISPOSED OF ON: EVIDENCE SAMPLES TAMPERED WITH: NO

IF YES EXPLAIN IN REMARKS I BY:

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NYC-WTC_000074897Source: NYC Law Department, mirrored locally

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Chain of custody record, Jan 2002 · Box DEP Box 62

NYC-WTC_000073037

Form documenting the custody chain for environmental samples submitted to the Westchester County Department of Labs.

10 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.981

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