EFTA00132080¶
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 | Initial Receipt | Date and Time |
|---|---|---|
| □ HAZMAT □ Latents □ FGJ □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other | Signature of Signed Printed Name/Reason: Initial Collected By: Agency: FBI | 8/10/19 4:30 pm |
Relinquished Custody¶
- Signature: [Blank]
- Printed Name: [Blank]
- Reason: TO CART
- Date and Time: 8/12/19 10:00 AM
- Accepted Custody: [Blank]
- Date and Time: 8/12/19 10:00 AM
- Reason: Received from CRF
Relinquished Custody¶
- Signature: [Blank]
- Printed Name: [Blank]
- Reason: TRANSFER
- Date and Time: 8/15/19 10:00 AM
- Accepted Custody: [Blank]
- Date and Time: 8/15/19 10:00 AM
- Reason: Received from CRF
Relinquished Custody¶
- Signature: [Blank]
- Printed Name: [Blank]
- Reason: TRANSFER
- Date and Time: 8/15/19 10:00 AM
- Accepted Custody: [Blank]
- Date and Time: 8/15/19 10:00 AM
- Reason: Received from CRF
Relinquished Custody¶
- Signature: [Blank]
- Printed Name/A
- Reason: Transfer to OTD
- Date and Time: 8/16/19 3:44 PM
- Accepted Custody: [Blank]
- Date and Time: 9/15/20 22:00 AM
- Reason: Received from CRF
Relinquished Custody¶
- Signature: [Blank]
- Printed Name/A
- Reason: Transfer to OTD
- Date and Time: 8/16/19 3:44 PM
- Accepted Custody: [Blank]
- Date and Time: 9/15/20 22:00 AM
- Reason: Received from CRF
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
- Printed Name:
- Signature:
- Reason:
ATF Trace Form Completed: □ NCIC: □¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132081¶
EVIDENCE CHAIN OF CUSTODY¶
| Re-requisited Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name: Reason: | 9:20 am 11:30 am | Signature: Printed Name: Reason: | 9:20 am 11:50 am |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name: Reason: | 10:10 am 11:50 am | Signature: Printed Name/Agency: Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: |
Case ID: 40A-M-3151227 IB: 1 Barcode: E6516200¶ This form is incomplete without reference to the FD-1087.¶ |