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Chain of Custody Record, Sample AE06301, March 2002

Machine-extracted title · confidence 100%

Document tracking custody of a sample submitted to Westchester County Department of Labs & Research.

NYC-WTC_000075241–000075251

Folder label: “AE 06301

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Scanned page image, NYC-WTC_000075241
OCR text

OCR status: ok · source: pdftotext

z Z t o o g WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE OF OF LABS & RESEARCH "0 o o c o SDG# LABORATORY WESTCHESTER CPU CT o tn NAME /Sees. ADDRESS VALHALLA. NEW YORK o' "0 CONTACT th gv»"> CONTACT o

samPlinIG LYSES 9L LABORATORY SAMPLE PEST/ #OF PRESER­ COMMENTS O o SAMPLE NO. SAMPLE NO DATE TIME TYPE BNA PCB METALS CN BOTTLES VATION {SPECIAL INSTRUCTIONS. CAUTIONS. ETC.) o c Ahu / 3 o 3

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I. i SI PRINT: ssTOlissisg:^ PRINT; ANALYSES/COMMENTS: IV. RELINQUISHED. BY: SIGN: PRINT: IV. RECEIVED BY: SIGN: PRINT: ANALYSES/COMMENTS:

FIRM: . Co hub FIRM' IM! ------------ “ FIRM: FIRM: L -r.wr:. DAm^^^/roJlMEj^ DATE: TIME: DATE: TIME: 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: 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_000075241Source: NYC Law Department, mirrored locally

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NYC-WTC_000075252 · Box DEP Box 62

Laboratory report detailing ICPMS analysis results for metals including antimony and arsenic in a water sample collected on March 12, 2002.

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