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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_000074972–000074977

Folder label: “AE 05700

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Scanned page image, NYC-WTC_000074973
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NYC 9/11 Public Portal Document

Kensico Laboratory . Day: e,AneSc{c<.y Genera! Chain of Custody Form

# OF BOTTLES COLLECTED

SITE CATLEFP LOG NUMBER TIME r / I I

DEL18 I

CROGH loos' 4 i 10

COMMEMtS;

s====5aa Telinquished by ; San^le #s: Date/Time , / ^CEIVED BY MICRO: RECEIVED BY INSTRUMENTS:

3 •£» -02 9afi&Time) (Oate/Time) (DataTIme) 5elinqu)^e^y^ /I Sap RECEIVED BY Ch/mi Datetime IISTRY; RECEIVED BY MICRO: RECEIVED BY INSTRUMENTS:

/x9s- LtyL. (DaierTime) (Date/Tima) (Date/Tme) y 7 ’ Temquished^ Sa^e is: ile/Time RECEIVED SY CHEMISTRY; RECEIVED BY MICRO: RECEIVED SY INSTRUMENTS;

(Date.Time) {OateTTime) (Data'Time)

**AII sample ^>ollected, preserved, and transported according to Division SOP guidelines.

NYC-WTC_000074973

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NYC-WTC_000074973Source: NYC Law Department, mirrored locally

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NYC-WTC_000074851 · Box DEP Box 62

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