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GAS <br /> Custody Transfer Record/Lab Work Request <br /> Received By Client ' RFW Contac <br /> Date Client Contact Date Due �L (/2 <br /> Assigned to Phone Project Number 'r 9O <br /> SAMPLE IDENTIFICATION ANALYSES REQUESTED /�F�T 9� <br /> Sample No. Client ID No. Description Matrix Date Collected Container/Preservative i <br /> i <br /> T <br /> Matrix: Special Instructions: <br /> S- Soil DS- Drum Solids <br /> W- Water DL- Drum Liquids <br /> O- Oil X- Other <br /> Items/Reason 'Relinquished By Received By Date Time Items/Reason Relinquished By Received By Date Time <br /> RFW 21-21-001/A-3/86 <br />