EFTA00132092¶
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¶
- □ HAZMAT □ Latents □ FGJ
- □ Req. Charging □ Freeze □ Refrigerate
- □ Biohazard
- □ Other ___
Agency: FBI¶
Date and Time 8/10/19 10:00 AM¶
Reason: TO CART¶
Date and Time 8/15/19 10:00 AM¶
Reason: RECEIVED¶
Date and Time 8/15/19 10:20 AM¶
Reason: TRANSFER¶
Date and Time 8/15/19 10:00 PM¶
Reason: RECEIVED FROM EPF¶
Date and Time 8/15/19 10:20 PM¶
Reason: TRANSFER¶
Date and Time 8/15/19 10:00 PM¶
Reason: TRANSFER¶
Date and Time 8/15/19 10:00 PM¶
Reason: TRANSFER¶
Date and Time 8/15/19 10:00 PM¶
Reason: TRANSFER¶
Date and Time 8/15/19 10:00 PM¶
Reason: TRANSFER¶
Date and Time 8/15/19 10:00 PM¶
Reason: TRANSFER¶
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
- Printed Name:
- Signature:
- Date:
ATF Trace Form Completed: □ NCIC: □¶
Case ID: 90A-NY-3151227¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132093¶
EVIDENCE CHAIN OF CUSTODY¶
| Date and Time | Accepted Custody | Date and Time | |
|---|---|---|---|
| 9:20 | 11:50 | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | |||
| 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: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed Name/Agency: Reason: | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed Name/Agency: Reason: | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed Name/Agency: Reason: | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed Name/Agency: Reason: | ||
| Reason: | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: | Signature: | ||
| Printed Name/Agency: | Printed Name/Agency: Reason: | ||
| Reason: | Reason: |
Case ID: 40A-M-3151227 IB: 11 Barcode: €6516204¶
This form is incomplete without reference to the FD-1087.¶