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i <br /> ( WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> WESTON Analytics <br /> Refri erator# Use Only <br /> Lod i M e-fQ L, Te C� Sam#/T a container 1► Samples Were: <br /> Client Volume 1 Shipped or Hand- <br /> Preservative <br /> Work Order �SRL1� 0 A n Delivered <br /> Date Recd. Date Due NOTES: <br /> RF W Contact �e8 �.�.1,t� w ANALYSES aH <br /> imp— J 2 Ambient or Chilled <br /> Client Contact/Phone REQUESTED NOTES: iTOC <br /> i A Use Only Date <br /> ( Lab ID Client ID/Description Matrix Collected 3 Received Broken/ <br /> S1 Leaking Improperly <br /> Sealed) <br /> Y N <br /> I NOTES: <br /> 4 Properly Preserved <br /> k 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-Soll 0-011 DL-Drum Liquids <br /> NOTES: Y N <br /> SE-Sediment A-Air F-Fish <br /> SO-Solid WI-Wipe L- EP(TCLP Leachate <br /> Item/Reason Relinquished by Received bV Date Time Item/Reason Relinquished by Received b COC Record Was:Date Time 1 Present Upon Receipt <br /> of Samples Y N <br /> Discrepancies Between <br /> Sample Labels and COC <br /> Record? Y N <br /> NOTES: <br /> 30 <br /> RFW 21-21-001/A-12/88 <br /> 7-115 <br />