Laserfiche WebLink
WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> 3 Retri erator# W Use nl e TONOnly Analytics <br /> r.,10 A - #R /a Container ET I/fi, Samples Were <br /> Client volume �/ r71' 1 Shipp de or Hand- <br /> ,7<f <br /> Work Order Preservative �� / ' <br /> Date Recd. _ Date Due NOTES: <br /> RFW Contact ANALYSES 7YfI <br /> REQUESTEDimp- IST G7 2 Ambient o hill <br /> ClientContact/Phone gZJ OIC I I I I I I NOTES: <br /> A Use Only Client ID/Descri tion Matrix Date <br /> ( �C <br /> Lab ID P Collected o�, 3 Received Bro en/ <br /> Leaking (Improperly <br /> T 7 — / — /% '� %/ >` Sealed) <br /> Y CN <br /> NOTES: <br /> 4 Properly Preserved <br /> Y N <br /> NOTES: <br /> 5 Received Within <br /> H mg Times <br /> \ . N <br /> N6 <br /> -" <br /> - COC Tape Was: <br /> �. 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> Package Y N <br /> 3 Present on Sample <br /> Y N <br /> Metrix: W-Water DS-Drum Solids X-other Special Instruction r - 4 Unbroken on Sample <br /> S-soil O-OII DL-Drum Liquids syn �11J N JC Tl'�il `tr�Llii- <br /> q /.�u t'1 1: �L OF /'ri)N q,;� I C NOTES: Y N <br /> SE-Sediment A-Air F-Fish mad f p „yl i <br /> SO-Solid WI-Wipe L- EP/TCLP Leachate /�"-` <br /> COC Record Was: <br /> Item/Reason Rn uis ed by Received by. Date Time Ilam/Reason Relinquished by Received bv Date Time 1 Present Upon Receipt <br /> ' •., ,.., of Samples Y N <br /> Discrepancies Between <br /> Sample Labels and CO <br /> Record? Y <br /> "-O NOTES: <br /> ii <br /> RFW 21-21-001/A-12/88 7-115''_7 / �. <br /> 1 <br />