Chain of Custody Record, Sample AE06406, March 2002

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o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE I OF[ o OF LABS & RESEARCH co g! 1^ SDG# LABORATORY ;^sietiEsm£QLlire ■D c o NAME ADDRESS VALHALLA. NEW YORK CT o o CONTACT CONTACT o' o ■D cn KJ — "•‘‘•’"-■I AnALVSEs o 3. CD LABORATORY SAMPLE PEST7 #OF PRESER- COMMENTS 91 CJ> SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA SNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS. CAUTIONS. BTC) O o o 3 c I I 3 I. CD SB fa»- 1 _zr I .^22. T w» f T T I I I

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1. SAMPLED AND RELim. I. REC BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS; SIGN; SIGNA SIGN: SIGN: print¥a4^h(X^ PRINT: PRINT: FIRM: FIRM: FIRM: DATE; 3 /Asr TIME: 11 30^ 0ATE:5/|5((;I-T1ME://^ 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: