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WESTON Analytics Use OnVy , <br /> F j�� Custody Transfer Record/Lab Work Request Paye _-of' <br /> Client '� rp e Refrigerator# <br /> Liquid <br /> Est. Final Proj.Sa ling Date #/Type Container <br /> Solid <br /> Work Order# t(j �'� Liquid <br /> Volume <br /> Project Contact/Phone# Solid Zma <br /> AD Protect Manager Preservatives <br /> QC Del TAT ORGANIC INORG <br /> ANALYSES a m <br /> Date Recd 7 s'S Date Due REQUESTED 0 m rid D z <br /> Account# <br /> MATRIX 1 <br /> CODES: Lab Matrix Date Q J pQ <br /> Client QC Matrix <br /> S- Soil ID Chosen Collected x4 <br /> SE-Sediment (V) <br /> SO-Solid j" h <br /> SL- Sludge <br /> W- Water � <br /> O- Oil <br /> A- Air ?' <br /> DS-Drum <br /> Solids <br /> DL- Drum <br /> Liquids <br /> L- EPfTCLP <br /> Leachate <br /> NII- Wipe <br /> X- Other <br /> F- Fish <br /> DATE/REVISIONS: <br /> Special Instructions: WESTON Analytics Use Only <br /> Samples were: COC Tape was: <br /> 2. 1 or <br /> 3 Delivered 1)Present on Outer <br /> and - Package Y or N <br /> 2)Unbroken on Outer <br /> 4. <br /> 2)AM ,ent or hille Package Y or N <br /> l 5 3)Recein Good 3)Present on Sample <br /> t = Ki1�5 <br /> Condition or N Y of N <br /> 4)Properly�eserved 4)Unbroken on <br /> R i h d ReceivedRelinquished RecCved;�?te Time Discrepancies Between Cyd or N Sample Y or N <br /> Date TimeSamples Labels andby by by COC Record? Y or N 5}Received Within COC Record Present <br /> (} '7 i /1171 NOTES Holding Tig1Bs Upon Sampie <br /> rj or N Y or N <br /> RA 21 2\001 A'%90 _ L372 _ ___ L373 L375 __ ._ L377 L378 Ref# ____T Cooler# 381 536a <br />