EFTA00132034¶
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 Seller: Printed Name/Area: Reason: Initial Collected By: Agency: FB1¶
Date and Time¶
8/10/19 4:30pm¶
Relinquished Custody¶
Date and Time 8/12/19 10:00 AM Reason: To CAST¶
Accepted Custody¶
8/12/19 10:00 AM Reason: TO CAST¶
Relinquished Custody¶
Date and Time 8/15/19 10:20 AM Reason: TO CAST¶
Accepted Custody¶
8/15/19 10:20 AM Reason: TO CAST¶
Relinquished Custody¶
Date and Time 8/15/19 2:00 PM Reason: TO CAST¶
Accepted Custody¶
8/15/19 2:00 PM Reason: TO CAST¶
Relinquished Custody¶
Date and Time 8/15/19 2:00 PM Reason: TO CAST¶
Accepted Custody¶
8/15/19 2:00 PM Reason: TO CAST¶
Relinquished Custody¶
Date and Time 8/15/19 2:00 PM Reason: TO CAST¶
Accepted Custody¶
8/15/19 2:00 PM Reason: TO CAST¶
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
Printed Name:¶
Signature:¶
Date:¶
Barcode: E6516211¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132035¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | 9/25/20 | Signature: | 9/25/20 |
| Printed Name: | 12:01 | Printed Name: | 12:02 |
| Reason: | Reason: Service | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | 5/24/20 | Signature: | 5/24/20 |
| Printed Name/A: | 11:54 | Printed Name: | 11:54 |
| Reason: | Reason: Change out | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | 5/3/20 | Signature: | 5/3/20 |
| Printed Name/A: | 11:54 | 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: | ||
| 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: | ||
| 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: | ||
| 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: | ||
Case ID: 70A-M-3151227 IB: 18 Barcode: E6S16212¶
This form is incomplete without reference to the FD-1087.¶