EFTA00132062¶
FD-1004 Rev. 10-13-2020¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | Reason: Split from 'E6516298' | 912520 | |
| Printed Name/Agency: | 2402 | ||
| Reason: | Accepted Custody | Date and Time | |
| Relinquished Custody | 2402 | ||
| Signature: | Reason: Store | 912520 | |
| Printed Name/Agency: | 2402 | ||
| Reason: | Accepted Custody | Date and Time | |
| Relinquished Custody | 2402 | ||
| 5/19/20 11:50am | Signature: Printed Name Reason: change out | 30607 | |
| Relinquished Custody | 11:50am | ||
| Relinquished Custody | Date and Time | ||
| Sig. | 5/30/20 11:50am | Signature: Printed Name/Agency: | |
| Pre | |||
| Reason: forward to DATE | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: Printed Name/Agency: | ||
| Printed Name/Agency: | |||
| Reason: | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: Printed Name/Agency: | ||
| Printed Name/Agency: | |||
| Reason: | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: Printed Name/Agency: | ||
| Printed Name/Agency: | |||
| Reason: | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: Printed Name/Agency: | ||
| Printed Name/Agency: | |||
| Reason: | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: Printed Name/Agency: | ||
| Printed Name/Agency: | |||
| Reason: | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: Printed Name/Agency: | ||
| Printed Name/Agency: | |||
| Reason: | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: Printed Name/Agency: | ||
| Printed Name/Agency: | |||
| Reason: |
This form is incomplete without reference to the FD-1087.¶
EFTA00132063¶
FD-1004 Rev. 10-12 2020¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: | Signature: | 912500 | |
| Printed Name/Agency: | Printed N | 2202 | |
| Reason: | Reason: Solit from G6S 2622D | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | 912500 | |
| Printed Name/Agency: | Printed N | 2202 | |
| Reason: | Reason: Storage | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | 5/1/22 11:50am | Signature: | 26180 |
| Printed N | Printed N | 11800 | |
| Reason: charge out | |||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Reason: | 11:50am | Signature: | |
| Relinquished Custody | Date and Time | Reason: | |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed N | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed N | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed N | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed N | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed N | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed N | ||
| Reason: | Reason: |
This form is incomplete without reference to the FD-1087.¶
EFTA00132064¶
FD-1004¶
Rev. 0-13-2020¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name Reason: | 905170 1201 | |
| Relinquished Custody | Accepted Custody | Date and Time | |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name Reason: | 905170 1201 | |
| Relinquished Custody | Accepted Custody | Date and Time | |
| Reason: 5/7/22 11:54 | Reason: Accepted Custody | Date and Time | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Reason: 5/7/22 11:54 | Reason: 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 | Date and Time | |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | Date and Time | |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | Date and Time | |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | Date and Time | |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | Date and Time | |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Accepted Custody | Date and Time |
This form is incomplete without reference to the FD-1087.¶