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WESTON Analytics Use Only �•V'�^�'^ <br /> Custody Transfer Record/Lab Work Request <br /> Page —of <br /> Cileflt Refrigerator# <br /> EsL Flnal P".Sampling Dab - #/Type Container Liquid <br /> Work Order 0 <br /> Solid <br /> Volume Liquid <br /> Project ConbeVPhale IF Solid <br /> AD Project Manager Preservatives <br /> OC Del TAT ANALYSES ORGANIC INORG <br /> Date Recd Date Due REQUESTED O Z m U m m 2 <br /> Account# > m a s 31 U <br /> 11 <br /> MATRIXMatrix + WESTON Analytics Use Only j <br /> CODES OC J <br /> S- Sod lClient lD/De rlPtkm Chosen MatrixCDate Time <br /> to 4 s <br /> SE Sediment ID ho(✓) ollected Collected F <br /> SO-Sdxd MS MSD <br /> SL- Sledge 2�'�rr�r� <br /> W- Water Imo. 9*q 130D <br /> O- Oil <br /> A- Air <br /> Salida D <br /> DL- Drum <br /> Liquids <br /> L- EP/TCLP <br /> Leachate - <br /> 1M- wipe <br /> X_ Omer <br /> F• Fish <br /> FIELD PERSONNEL:COMPLETE ONLY SHADED AREAS DATE/REVISIONS: WESTON Analytics Use Only <br /> Special Instructions: t. <br /> _ n LL Samples were: COC Tape was: <br /> !twI�/'1 2. 1)Shipped- Qr 1)Present on Outer <br /> 3. r '�, r Hand Delivered ,r Package Y or N_ <br /> Airbill a- 2)Unbroken on Outer <br /> C 4. Z)Ambient.or Chilled Package Y or N, <br /> 5. 3)Received in Good 3)Present on Sambre <br /> Condition Y'or N Y or N, <br /> 6. 4)Labels Indicate <br /> 4)Unbroken on <br /> Propedy Preserved Sample Y or N) <br /> Relinquished Received Relinquished Received Y or N1 <br /> by by Date Timo by by Date Time Disaepande5 Between __ <br /> COC Record Present <br /> Samples Labels and 5)Received Within Upon Samgle Rec t <br /> c COC Record? Y or N Holding Times - Y or N <br /> NOTES: Y or N ( / <br /> i <br /> HFW 21-21-001/A-7/91 L372 L373 L375 L377 L378 Ref# Cooler# 381-595a <br />