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¶
| Relinquished Custody | Date and Time | ||
|---|---|---|---|
| Signature: | 5/12/20 11:50am | Accepted Custody | Date and Time |
| Printed Name: | Signature: | ||
| Reason: | Printed Name/Agency: | ||
| Reason: | |||
| 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: | ||
| 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: | ||
| 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: |
Case ID: 40A-NM-3151227 IB: 9 Barcode: E6516202¶
This form is incomplete without reference to the FD-1087.¶