Chain of Custody- Bioterrorism Unit
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Chain of Custody- Bioterrorism Unit Sample Number: NC State Laboratory of Public Health 24/7 Phone (919) 807-8600
Relinquishing Investigator: Date Submitted: Signature: Phone Number: Agency: 24-hour contact name: 24-hour contact phone: Fax Number:
PHYSICAL DESCRIPTION OF ITEM(S):
Total # of items submitted: Date: Time: Received By: ______(Printed Name) (Signature) Date: Time:
Custodial Agent: ______(Printed Name) (Signature) Action: ______
Received By: ______(Printed Name) (Signature)
Custodial Agent: ______(Printed Name) (Signature) Action: ______
Received By: ______(Printed Name) (Signature)
Custodial Agent: ______(Printed Name) (Signature) Action: ______
Received By: ______(Printed Name) (Signature)
Custodial Agent: ______(Printed Name) (Signature) Action: ______
Received By: ______(Printed Name) (Signature)