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WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> Refri erator# WESTON Analytics <br /> Use Only <br /> #/T a Container bk 8k <br /> _ Samples Were: <br /> Client Volume �h 1 Shipped or Hand- <br /> Work Order 7 _ Preservative — _ Delivered <br /> Date Recd. Dg Due NOTES: <br /> RFW Contact F/?JK Fr, ed r iG ANALYS4Date <br /> OTO H-G <br /> Client Contact/Phone REQUESBr"1X,5030 NOTES:Ambient or Chilled <br /> A Use Only Client ID/Description Matrix Lab ID 3 Received Broken/ <br /> -TI — OLeaking (Improperly <br /> Sealed) <br /> Tl — S o y N <br /> NOTES: <br /> 4 Properly Preserved <br /> Y N <br /> NOTES: <br /> 5 Received Within <br /> Holding Times <br /> Y N <br /> NOTES: <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 /> Matrix: W-Water DS-Drum Solids X-Other Special Instructions: 4 Unbroken on Sample <br /> S-Soil O-Oil DL-Drum Liquids NOTES: Y N <br /> SE-Sediment A-Air F-Fish - <br /> ,F.w t&ysC <br /> SO-Solid WI-Wipe L- EP/TCLP eachate 1 <br /> COC Record Was: <br /> Item/Reason Relin wished b Received b Date Time Item/Reason Relinquished by Received by Date Time 1 Present Upon Receipt <br /> kql SI 0 000 of Samples Y N <br /> Discrepancies Between <br /> Sample Labels and COC <br /> Record? Y N <br /> NOTES: <br /> RFW 21-21.001/A-12/88 7-115 <br />