EFTA00132086 FD-1004 Rev. 7-7-2016 FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY

Special Handling Instructions		Initial Receipt	Date and Time
☐ HAZMAT ☐ Latents ☐ FGJ ☐ Req. Charging ☐ Freeze ☐ Refrigerate ☐ Biohazard ☐ Other ___			8/10/19 4:30pm
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:	8/10/19 10:00am		8/16/19 10:00am
Printed Name:	10:00am	Reason:	CAST
Relinquished Custody	Date and Time		Date and Time
Signature:	8/15/19 10:00am		8/15/19 10:00am
Printed Name:	10:00am	Reason:	RECEIVEN
Relinquished Custody	Date and Time		Date and Time
Signature:	8/15/19 2:00am		8/15/19 2:00am
Printed Name:	2:00am	Reason:	Accepted
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:	8/15/19 3:00am	Reed Ex# 7716 2024 4460	11/25/19 3:00am
Printed Name:	3:00am	Reason: Received from ERF
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:
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:

This form is incomplete without reference to the FD-1087. EFTA00132087 ## EVIDENCE CHAIN OF CUSTODY

Case ID: 40A-NM-3151227 IB: 9 Barcode: E6516202 This form is incomplete without reference to the FD-1087.