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ttllw■e lil tiff lil ira�r ttiti � � � � � � � <br /> ENVIRONMEN ASSESSORS, INC. t k I <br /> Custody Transfer Record/Lab Work Request I <br /> Rein erators LAB USE ONLY <br /> illi e Container <br /> 5,��-g`�C FDSarttples Were <br /> Client - Volume <br /> o,:,7(— B•S`-0�— tJ dao t Shipped or Hand <br /> Work Orderpreservative NOTES Date Rec'd Date Due ` <br /> ANALYSES <br /> aI'rYC�Lc Scul'D REQUESTED � �4 c�01 2 Ambient or Chilled <br /> Client Contact/Phone NOTES <br /> Client ID/Description Matrix Date <br /> Les ID Collected 3 Received Broken <br /> W zi-d- . S d_! 5� ,/ ,/ Leaking (Improperly <br /> �- Sealed) <br /> Y N <br /> NOTES <br /> 10 J (� - - - - 4 Properly Preserved <br /> L o Y N <br /> LI I —.1 NOTES <br /> Zl `3 � — — 5 Raceived Within <br /> I lolding Times <br /> LS D Y N <br /> NOTES <br /> �VV r COC Tape Was <br /> �-t1 r SS 1 Present on Outer <br /> l r6� Package Y N <br /> D 63 2 Package Outer N <br /> J <br /> �7p 3 Present on Sample <br /> Y N <br /> Matrix l W Water DS lids X Other S ial Instr tions 4 Unbroken on Sample <br /> S-soli O Oil DL Drum lquids <br /> SE Sediment A Air P Fish �j Qom, f� ""3 ,[�(� /I- NATES Y N <br /> SO Solid WI-Wlpe L- EPITCLP Leachate <br /> ItemlReason Relinquished by Received by Date Time Item/Reason. Relin wished by Received by Date Time COC Record Was <br /> 1 Present Upon Receipt <br /> CT of Samples Y N <br /> Discrepancies Between <br /> Sample Labels and COC <br /> Racord) Y N <br /> NOTES <br />