Chain of Custody Record, Westchester County Lab, Mar 2002

o z WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY i RECORD PAGE J OF{ SS o ’s*. OF LABS & RESEARCH -0 5o SDG# NAME AJ LABORATORY ADDRESS WESTCHESTER COUNTY VALHALLA. NEW YORK c CT o' 'o CONTACT ___________________________ "D o CONTACT o o o SAMPLING ANALYSES p. LABORATORY SAMPLE PEST/ #OF PRESER­ co SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA SNA PCB METALS CN BOTTLES VATION COMMENTS (SPECIAL INSTRUCTIONS. CAUTIONS. ETC ) o o N) o c 3 3. 72221^ o 3

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I. SAMPLED AND^LINQ. BY I. RECEI ANALYSES/COMMENTS: tv. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN; SIGN: ( SIGN: SIGN; PRINT- PRINT: PRINT: PRINT; FIRM: FIRM: FIRM; DATE: o3/«4A>. TIME://^ DATE: TIME: DATE; TIME: Il 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: PIRM: 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;