EFTA00132010¶
FD-1004 Rev. 7-7-2016¶
FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶
| Evidence Type: □ General □ Drugs □ Firearms/Werpon □ Digital □ Valuables □ Firearms/Other | Item # ___ |
|---|
Special Handling Instructions¶
| Initial Receipt | Date and Time |
|---|---|
| □ HAZMAT □ Latents □ FGJ □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other ___ | Signature of Seizing Printed Name/Agency Reason: Initial Collection Collected By: MA77 Hammero Agency: FB |
Relinquished Custody¶
| Date and Time | Accepted Custody | Date and Time |
|---|---|---|
| Signature: 8/10/19 10:00AM Reason: TO CAR | Signature: 8/10/19 10:00AM Reason: TO CAR | Signature: 8/15/19 10:20AM Reason: TO CAR |
| Signature: 8/15/19 10:20AM Reason: TO CAR | Signature: 8/15/19 10:20AM Reason: TO CAR | Signature: 8/15/19 2:00AM Reason: TO CAR |
| Signature: 8/15/19 2:00AM Reason: TO CAR | Signature: 8/15/19 2:0 |
Case ID: 90A-NY-3151227¶
Barcode: 66516203¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132011¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 5/12/20 11:50 | Signature: Printed Name Reason: | 5/12/20 11:50 |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency Reason: | 5/12/20 11:50 | Signature: Printed Name/Agency Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency Reason: | Date and Time | Signature: Printed Name/Agency Reason: | |
| Relinquished Custody | Accepted Custody
Case ID: 90A-M-3151227 IB: IO Barcode: ∈65I6203¶ This form is incomplete without reference to the FD-1087.¶ |