EFTA00123417.pdf

U.S. Department of Justice Office of the Inspector General • EVIDENCE CUSTODY DOCUMENT OFFICE CASE # LOG 0 DATE AND TIME OF SEIZURE ',Hy° golq- otoo-f 013 iill lot o-iisprn PROPERTY SEIZED FROM LOCATION OF SEIZURE Flee kkAA.) Nich), q 5O,W zet42-a2o- LAD sna ITEM DESCRIPTION OF THE PROPERTY SEIZED I CP A -P Machine NAME AND SIGNATURE OF WITNESS NAME AND SIGNATURE OF SEIZING SPECIAL AGENT CHAIN OF CUSTODY ITEM DATE/TIME 1.11 I : PURPOSE i i - 1- da 5:30 ?co t--- Cyll.1/4 illta e,viestiAct 1 12-- t61 44 i I: licagr /2O,n?) -tor COQ A.tt..4 1 Metal -v1 cl-ecti Apo-f4Y. to "aO? OIH FORM III - 234/1 (04/23/07) EFTA00123417 CHAIN OF CUSTODY LOG CDFRN . DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NYM-19-0180 rim IINIM -19 -00200 CASE ID NUMBER: (Enclose with/attach to evidence) DESCRIPTION Or ITEM: 1 material DATE/TIME ITEM POUND: 08/12/19 12:55 P.M LOCATiON: 9 South 206-220-LAD CPAP Machine SUSPECT (If known) Epstein,Jeffery 76318-054 SIGNATURE of PERSON RECOVERING EVIDENCE: PRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY:iprinted name) Date & Time: Witness:(printed name)._ - EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (print I name) Date "'me. Ni tnr name)-_ EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date s Time: Witness: (printed name) DISPOSITION: (1) Hold as evidence ( ) Return to owner ( ) Lab Analysis ( ) ReY)rn to finder ( ) Destroy immediately ( ) FBI ( ) Other REMARK.' (condition of evidence): CHAIN Or CUSTODY grIN"''E RELEASED BY: DATE/TINE. DESTINATION; EVIDENCE RELEASED TO; 08-12-19 1:10PM SIS Office SIS Office /2,7# /1 1‘5312 friPC5L5 OC6ee STS Ler prescribed by P5510 EFTA00123418