EFTA00132031¶
FD-1004 Rev. 7-7-2016¶
FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶
Evidence Type: □ General □ Drugs □ Firearms/Weapon □ Digital □ Valuables □ Firearms/Other¶
Special Handling Instructions¶
□ HAZMAT □ Latents □ FGJ □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other ___¶
Initial Receipt¶
Signature of S Printed Name Reason: Initial Collected By: Agency:¶
Date and Time¶
8/10/19 4:30am¶
Relinquished Custody¶
Date and Time¶
Accepted Custody¶
Date and Time¶
8/12/19 10:20am¶
Relinquished Custody¶
Date and Time¶
Accepted Custody¶
Date and Time¶
8/15/19 10:20am¶
Relinquished Custody¶
Date and Time¶
Accepted Custody¶
Date and Time¶
8/15/19 2:00am¶
Relinquished Custody¶
Date and Time¶
Accepted Custody¶
Date and Time¶
8/15/19 2:00am¶
Relinquished Custody¶
Date and Time¶
Accepted Custody¶
Date and Time¶
Signature: Printed Name Reason:¶
Signature: Printed Name Reason:¶
Signature: Printed Name Reason:¶
Signature: Printed Name Reason:¶
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
Printed Name:¶
Signature:¶
Date:¶
Case ID: 90A-NY-3151227¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132032¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 9/25/20 7:02 PM | Signature: Printed Name Reason: | 9/25/20 7:02 PM |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 5/30/20 11:00 AM | Signature: Printed Name Reason: | 5/30/20 11:00 AM |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 6/30/20 11:55 AM | Signature: Printed Name/Agency: Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: |
Case ID: 90A-M-3151227 IB: 17 Barcode: E6516210¶ This form is incomplete without reference to the FD-1087.¶ |