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Chain of Custody Record, Sample AE06457, March 2002

Machine-extracted title · confidence 90%

Document tracking the custody and transfer history of a water sample submitted to the Westchester County Department of Labs & Research.

NYC-WTC_000075389–000075392

Folder label: “AE 06457

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z o o WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE J OF[ co

§ OF LABS & RESEARCH 2Q8ZMAR ji “0 c o SDG# LABORATORY WESTCHESTER COUNTY o ADDRESS VALHALLA.TMl o' o NAME "0 o CONTACT o cn CONTACT o SAMPLINQ ANALYSES 9L 00 CD LABORATORY SAMPLE PEST/ #Uh PRESER­ COMMENTS O o SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA SNA PCB •METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS. ETC) o c 3 a 57 3/ CD 3

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T I. SAN LED AND RELINQ. BY I. RECEIVED BY: ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGht SIGN: SIGN; SIGN; PRIhTt PRINT: PRINT: PRINT: FIRM: WSePC-P FIRM: FIRM: FIRM: DATE:^\“I^ TIME;v'. a^* DATE: TIME: DATE: TIME: DATE: TIME: II. RELlNQjblSHEDBY: II. RECEIVED BY- ANALYSES/COMMENTS; V. RELINQUISHED BY: V. RECEIVED BY; ANALYSES/COMMENTS: SlGN;g^>MZ^ SIGNbC^Tt^iMsi^ SIGN: SIGN; PRINT: PRINTOwwm^^x^ PRINT; PRINT: FIRM:. DAT^^^^ TIME:^.J$i FIRM: FIRM: DATE: TIME: DATE: TIME; II. REUNQUIS^by 111. RECEIVED BY: ANALYSES/COMMENTS: VI. RELINQUISHED BY: VI. RECEIVED BY; ANALYSES/COMMENTS; SIGN: SIGN: SIGN: PRINT: PRINT; PRINT: PRINT; F|RM;i^^ ; FIRM; FIRM; FIRM; DATE; 3?//W TIME; DATE; TIME; DATE; TIME: DATE: TIME; EVIDENCE S^PLES TAMPERED WITH;____ NO____ YES N/A SAMPLES DISPOSED OF ON;

IF YES EXPLAIN IN REMARKS BY:

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NYC-WTC_000075389Source: NYC Law Department, mirrored locally

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Laboratory report detailing ICPMS analysis results for metals including antimony, arsenic, and barium in a water sample collected on March 17, 2002.

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Chain of custody documentation for environmental samples transferred to the Westchester County Department of Labs and Research in Valhalla.

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