EFTA00132025¶
FD-1004 Rev. 7-7-2016¶
FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶
| Evidence Type: | General | Drugs | Firearms/Wapon | Item # |
|---|---|---|---|---|
| Special Handling Instructions | ||||
| □ HAZMAT | □ Latents | □ FGJ | Signature of Seller | 8/10/19 |
| □ Req. Charging | □ Freeze | □ Refrigerate | Printed Name/Agency | 4:30pm |
| □ Biohazard | Reason: Initial | |||
| □ Other | Collected By: Agency: FBI |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | 8/12/19 | Signature: | 8/12/19 |
| Printed: | 10:00AM | Printed Named: | 10:00AM |
| Reason: TO CART | Reason: TO CART |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | 8/15/19 | Signature: | 8/15/19 |
| Printed: | 10:20AM | Printed Named: | 10:20AM |
| Reason: TO GA | Reason: RECEIVED |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | 8/15/19 | Signature: | 8/15/19 |
| Printed: | 7:00AM | Printed Named: | 7:00AM |
| Reason: TRANSFERED | Reason: |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | 8/15/19 | Signature: | 8/15/19 |
| Printed: | 3:00PM | Printed Named: | 3:00PM |
| Reason: TO GID | Reason: RECEIVED FROM ERF |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed Name/Agency: | ||
| Reason: | Reason: |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed Name/Agency: | ||
| Reason: | Reason: |
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
Printed Name:¶
Signature:¶
Date:¶
Barcode: 66576208¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132026¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 5/10/20 11:50am | Signature: Printed Name Reason: | 5/10/20 11:50am |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 5/3/20 11:50am | 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: | Date and Time |
| Relinquished Custody | Accepted Custody | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody |
Case ID: 90A-M-3151227 IB: 1S Barcode: €6516208¶
This form is incomplete without reference to the FD-1087.¶