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Chain of custody record, Sample AE06529, March 2002

Machine-extracted title · confidence 95%

Westchester County Department of Labs and Research chain of custody form for a water sample.

NYC-WTC_000075399–000075402

Folder label: “AE 06529

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Scanned page image, NYC-WTC_000075399
OCR text

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z Z ——9—————————— o co WESTCHESTER COUNTY DEPARTMENT CHAIN OF CUSTODY RECORD PAGE i OF[ OF LABS & RESEARCH '2 o o SDG# LABORATORY WESTCHESTER COUNTY ■0 c CT o' o NAME A ADDRESS VALHALLA. NEW YORK "0 cn CONTACT CONTACT _________________________ o o 03 CD CD SAMPLING ANALYSES LABORATORY SAMPLE PEST/ #OF PRESER- COMMENTS O o SAMPLE NO. SAMPLE NO. DATE TIME TYPE VOA BNA PCB METALS CN BOTTLES VATION (SPECIAL INSTRUCTIONS, CAUTIONS, ETC) o c 3 a CD 3 1 r

3^^

I. SAMPLED AW RELINQ. BY I. RECE ANALYSES/COMMENTS: IV. RELINQUISHED. BY: IV. RECEIVED BY: ANALYSES/COMMENTS: SIGN: SIGN: SIGN: SIGN: PRINTJfX^. PRINT; PRINT: PRINT: FIRM; FIRM: FIRM: FIRM: DATE: ‘3/J S' TIME; /MI->DATE:^^ 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_000075399Source: NYC Law Department, mirrored locally

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NYC-WTC_000075403 · Box DEP Box 62

Laboratory report detailing ICPMS analysis results for metals including antimony, arsenic, and barium in a water sample collected on March 18, 2002.

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