EFTA00132037 FD-1004 Rev. 7-7-2016 FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY

Evidence Type: □ General □ Drugs □ Firearms/Wapon ☐ Digital ☐ Valuables ☐ Firearms/Other
Special Handling Instructions		Initial Receipt	Date and Time
□ HAZMAT □ Latents □ FGJ □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other ___		Signature of Seed	8/14/19 9:00pm
		Printed Name/ID
		Reason: Initial
		Collected By: Agency: NYPD
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
	8/15/19 1:30pm	Signature:	8/15/19 1:30pm
		Printed Name
		Reason: Received
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
	8/15/19 2:00pm	Signature:	8/15/19 2:00pm
		Printed Name
		Reason: Received
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
	8/15/19 3:00pm	Signature:	9/25/19 1:20pm
		Printed Name
		Reason: Received from ERF
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
	9/25/20 12:01	Signature:	9/15/20 12:02
		Printed Name
		Reason: Storage
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
	5/27/20 11:50pm	Signature:	6/0/20 11:00am
		Printed Name
		Reason: Change out
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
	5/3/20 11:50pm	Signature:
		Printed Name/Agency:
		Reason:

Firearm Certification by(FI/SWAT)/Explosive Material Certification by(SABT):	ATF Trace Form Completed:□NCIC:□
Printed Name:
Signature:
Date: