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WESTON Analytics Use Only <br /> 9 3 0 9 8 8 5 0 ^Custody Transfer Record/Lab Work Request <br /> Page <br /> Client ' cLr~A. t r � t Retrlgerator# <br /> Est Final Prof.Sail llpg Date #/Type Container Sold <br /> Work Order# C�' I f - Ot;I — <br /> Volume Li uid <br /> Project Contact/Phone# Solid <br /> AD Project Manager Preservatives <br /> OC Del TAT �`- ANALYSES ORGANIC INORG <br /> _— <br /> Date Recd Date Due REQUESTED T <br /> G ¢ ado n V. <br /> Account# O> m Oa i v <br /> MATRIX• Matrix WESTON Analytics Use Only <br /> SE.Sediment <br /> CODES: _ <br /> B ale <br /> S- Sol IIDb Client lD/Descrlpdorn Chosen Matrix collected Collected <br /> SO-Solid MS MSD <br /> SL- SludgeC q <br /> W- Water L( 7. uCc.-+ t <br /> O- OB <br /> A Air - Z { oc 4 i opt <br /> os-� �� 3 ocC'f ', <br /> DL-Drum <br /> Liquids <br /> L- EP?CLP <br /> ' Leachate �D5 Z O t�� 5Tc <br /> WI- Wipe. <br /> X- Other 3 t7w R - <br /> F-; Fish <br /> s=}iXi. - <br /> FIELD PERSONNEL:COMPLETE ONLY SHADED AREAS DATE/REVISIONS: WESTON Analytics Use Only <br /> Sp_�)Iel ins{ructlOOs:� C 1. <br /> Y Q�II q j U9 J�7 9 � 2 Samples were: COC Tape w . r <br /> 1)Shipped_or i)Pre on Outer <br /> !3) <br /> and Delivered_ age Y or N <br /> 3. rbill# 2)Unbroken on Outer <br /> / 4. Ambient hilted Package Y S N <br /> 5 eived in Good 3)Present on Sample i <br /> ondition Y or N Y or N <br /> 6. 4)Labels Indicate 4)Unbroken on <br /> Property Preserved Sample Y or N <br /> elinquished Received Date Time Relinquished Received Date Time Discrep es Between Y or N <br /> by by by by S es Labels and COC Record Present <br /> _ 5)Received Within Upon Sample Rec't <br /> / �� c�� l COC Record? Y or N Holding Times Y or N <br /> NOTES: Y or N <br /> RFW 21-21-001/A-7/91 L372 L373 L375 L377 L378 Ref# Cooler# 381-596a <br />