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7 <br /> = = = = M moo = = M = � � <br /> WESTON alytics Use Only I MA.M. <br /> g13p 6 S 1 w Custody Transfer Record/Lab Work Request Pags <br /> Kehl rotor# <br /> client "" <br /> Est.Final Prof.SampllttQ Date ry #/Type Container <br /> Work Order# <br /> u volume <br /> Project ContactlPhone• <br /> AD Project Allw aW x- Preservatives HrOAG <br /> " ORGANIC <br /> oc Del TAt ANALYSES <br /> Date Rec'd Date Due REQUESTED --�" p Z my m <br /> Account# <br /> WEST ON ArwlytIN use only <br /> MATRIX Matrix <br /> CODES Lab 0C Date Time <br /> S- Soil ClientiDlDescription Chosen Matrix Collected Collected <br /> ID <br /> SE-Sediment V) <br /> SO-Solid MS MSD <br /> SL-Sludge - s, <br /> W- Water --F <br /> 0- Oil s <br /> A- Alr �' - <br /> DS-Drum - a � <br /> Solids i <br /> DL-Drum ` <br /> Liquids <br /> L- EPITCLP - r <br /> wt <br /> Lea�cphate 4 <br /> X- Other <br /> F- Fish <br /> s m 5 t 1 <br /> y <br /> FIELD PERSONNEL COMPLETE ONLY SHADED AREAS DATEIREvISIONS WESTON AnSWIcs Use Only <br /> Special Instructions 1 <br /> l - Samples were COC Tape was <br /> 2 1]Shaped�or 1)Present on Outer <br /> Hand Delivered`,- Paces Y or N <br /> k" I 11; r �� / E I 3 Airbill# 2)Unbroken on Outer <br /> 4 2)Ambient of Chilled Package Y or N <br /> r ,' 3)Received in Good 3)Present on Sample <br /> 5 Condition Y or N Y or N <br /> la ` <br /> l ' 6 i 4)Labels Indicate 4)Unbroken on <br /> Properly Preserved maple \Y or N <br /> Relinquished Received Date Time Relinquished Received Date Time Discrepancies Between Y'� NCOC Record P_nt <br /> bY b ! by by Samples Labels and 5)Received Within Upon Sam�Rec Y <br /> f CAC Record? Y or N Holding Times Y or N <br /> 0 , T <br /> ,n <br /> °• ' �;J NOTES Y-or N � <br /> RFW 21-21 0041A-7191 <br /> 1372 L373 L375 L377 L378 Ret# Cooler# 381-596a <br />