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 | Item # ___ | ||||
|---|---|---|---|---|---|
| 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: |
This form is incomplete without reference to the FD-1087.¶
EFTA00132038¶
FD-1004 Rev. 7-7-2016¶
FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶
| Evidence Type: | General | Drugs | Firearms/Weapon | Item # |
|---|---|---|---|---|
| Digital | Valuables | Firearms/Other |
Special Handling Instructions¶
| Initial Receipt | Date and Time |
|---|---|
| □ HAZMAT □ Latents □ FGJ □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other ___ | 8/15/19 4:45p |
| Signature: | Printed Name: |
|---|---|
| Reason: To transport team | 10:00am |
| Signature: | Printed Name: |
|---|---|
| Reason: Transport to OTU | 12:06 |
Case ID: 90A-NY-3151227¶
IB: 1B20¶
Barcode: E6516212¶
This form is incomplete without reference to the FD-1087.¶