A Chain of Custody Form is a document that is used to track the movement of physical evidence from the time it is collected until it is submitted in court. The document includes a description of the evidence, as well as information about who collected and processed it. This helps to ensure that the evidence has not been tampered with or compromised in any way. Chain of Custody Forms are commonly used in criminal investigations, but they can also be helpful in civil cases.
| Question | Answer |
|---|---|
| Form Name | Chain Of Custody Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | EHS, PCM, RCRA, Pb |
ENVIRONMENTAL HAZARDS SERVICES, L.L.C.
7469 Whitepine Road Richmond, Virginia 23237 Phone (804)
CHAIN OF CUSTODY FORM
Company Name: |
Washington State University |
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Date: ________________________________ |
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Address: |
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Environmental Health & Safety / P.O. Box 641172 |
Contact Name: _______________________ |
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City, State, Zip: |
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Pullman, WA 99164 |
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Sampler Name: _______________________ |
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EHS Client Account #: |
D |
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Project #: ____________________________ |
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Phone# : |
(509) |
Fax#: |
(509) |
P.O. #: _______________________________ |
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Sample Number
Sample
Date &
Time
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Asbestos |
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Lead |
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Bulk ID by PLM |
Asbestos Wipe |
Fiber Count (PCM) |
TEM Air |
TEM Chatfield (Bulk) |
Air |
Paint |
Soil |
Wipe |
TCLP (Pb) |
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Waste Water
Other Metals
(Specify metals below)
TCLP RCRA 8
Air Volume (L)
OR
Wipe Area (ft2)
OR
Scrape Area(cm2)
Comments
Released by:
Received by:
Released by:
Received by:
Signature: |
Date/Time: |
Signature: |
Date/Time: |
Signature: |
Date/Time: |
Signature: |
Date/Time: |