Police record

FBI evidence chain of custody form, 2015–2020

FBI evidence chain of custody forms recording collection, receipt, and acceptance of evidence with dates from 2015 through 2020.Machine-written summary

EFTA00132101¶

FD-1004 Rev. 7-7-2016¶

FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶

Evidence Type: □ General □ Drugs □ Firearms/Weapon¶

□ Digital □ Valuables □ Firearms/Other¶

Item # ___¶

Special Handling Instructions¶

□ HAZMAT □ Latents □ FGJ
□ Req. Charging □ Freeze □ Refrigerate
□ Biohazard
□ Other ___

Collected By: MAST NAMMOND Agency: FBI¶

Date and Time 9/10/19 10:00 AM¶

Reason: CAFT¶

Date and Time 9/12/15 10:00 AM¶

Reason: RECEIVED¶

Date and Time 9/13/15 2:00 PM¶

Reason: ACCEPTED¶

Date and Time 9/13/15 2:00 PM¶

Reason: RECEIVED FROM ERF¶

Date and Time 9/25/15 12:00 PM¶

Reason: RECEIVED FROM ERF¶

Relinquished Custody¶

Date and Accepted Custody¶

Signature: Printed Name/Agency: Reason: Relinquished Custody¶

Time¶

Signature: Printed Name/Agency: 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.¶

EFTA00132102¶

EVIDENCE CHAIN OF CUSTODY¶

	Date and Time	A		Date and Time
	9/25/2020	S		25/2020
	12:02	F		2022
	Reason:	Reason:
Relinquished Custody	Date and Time			Date and Time
	9/25/2020
	11:06am
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
	6/23/2020	Signature:
	11:06am	Printed Name/Agency:
	Reason:	Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature:		Signature:
Printed Name/Agency:
Reason:

Case ID: 90A-M-3151227 IB: 14 Barcode: €6516207¶

This form is incomplete without reference to the FD-1087.¶

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