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Chain of custody record, Westchester County Department of Labs &

Machine-extracted title · confidence 95%

Form documenting the chain of custody for samples submitted to or received from the Westchester County laboratory.

NYC-WTC_000074949–000074954

Folder label: “AE 05696

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z z o V^STCHESTER COUNTY DEPARTMENT o i o OF LABS & RESEARCH CHAIN OF CUSTODY RECORD PAGE OF co

I ■D o SDG# LABORATORY WESTCHESTER COUNTY c o CT o NAME ADDRESS VALHALLA. NEW YORK o' o CONTACT CONTACT ■D O CD s/WiplING 3. ANALYSES 91 CD LABORATORY SAMPLE PEST/ #OF PRESER­ COMMENTS O SAMPLE NO. TIME VOA BNA PCB MEJALS CN lOTTLES VATION (^ECaAL INSTRUCTIONS, CAUTIONS, ETC.) o

1 o I c & ziz ( 3 CD

4

I I I I. saSI-^- - I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN:-^=‘— SIGN: SIGN: PRINT: <^RINT: PRINT: PRINT: fIRM: FIRM: FIRM: DATE: DATE: DATE: TIME: DATE: TIME:

II. RELII IISHED 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: 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_000074949Source: 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 0.974

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Documentation tracking the custody and transfer of environmental samples to the Westchester County Department of Labs and Research.

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