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WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> WESTON Analytics <br /> /1 Refri eratorM Use Only <br /> L p!f a Container T-1-11-0 <br /> _. I Y>f' Samples Were.. <br /> Client r 'r �, Volume �r �� r 1 Shipped-pr HAnd- �. <br /> Work Order J /r , (6elivErcd <br /> �, Preservative / t- '% -(_ NOTES: <br /> Date Recd '�-- Date Due <br /> RFW Contact r_.%� --- ANALYSES F' 2 Ambient o hilted, <br /> Client ContacVREQUESTED Phone N:iZC' ;, NOTES:I '�- o <br /> A Use Ont ate <br /> y Client ID/Description Matrix D <br /> Lab ID Collected 3 Received Bro� <br /> _ <br /> q _ 7 - 9 .- 1• ) / Leaking (Improperly <br /> Sealed) _ <br /> i - ._> �c 7 Y CNS <br /> NOTES: <br /> 4 Properly Preserved <br /> \ Y N <br /> NOTES: <br /> 5 Received Within <br /> _ ( vH'olding Times <br /> YL) N <br /> NOTES: <br /> �- COC Tape Was: <br /> �- 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> j Package Y N <br /> 3 Present on Sample <br /> Y N <br /> Metrix: W.Water DS-Drum Solids X-Other Special Instru_ctionj:,) n ,,1 , , / - 4 Unbroken on Sample <br /> S-Solt O-OII DL-Drum Liquids �;. F ,��(J(- 1 / 'it r` ' ' f + NOTES: Y N <br /> SE-Sediment A-Air F-Fish <br /> SO-Sold WI-Wipe L- EP?CLP Leachate <br /> COC Record Was: <br /> Ite /Re son Relinouis ed bY Received bv Dote Time Item/Reason Relinquished by Received by Date Time 1 Present Upon Receipt <br /> '711AA;A16of Y N <br /> Discrepancies Between <br /> Sample Labels and COG-, <br /> Record? Y N <br /> NOTES: <br /> i <br /> 7-tis <br /> RFW 21-21-ool/A-12/88 <br />