Laserfiche WebLink
ENVIRONMENTAL, ASSESSORSg INC. <br /> Custody Transfer Recoi d/Lab Work Request <br /> Relrr eratvrx LAB USE ONLY <br /> Samples were <br /> Client Volume I Shipped or Hand <br /> P-/ r -- U S - �(-- V�" / Delivered <br /> Work Order Preservative NOTES <br /> Date Rec d Dale Due <br /> ANALYSES �(,' 2 Ambient or Chilled <br /> REQUESTED ~ NOTES <br /> Client Conlacl/Phone <br /> Uatp <br /> Cttnnt IDlDp9cription Matrix Cvllerled 3 RPrerv-d t?rOknn' <br /> Lnb ID ^ — Leakino (Improrp+ly <br /> r _ rt <br /> NOTES <br /> a Properly Preserved <br /> Y N <br /> NOTES <br /> 5 RPcely-d Within <br /> Holding Times <br /> Y N <br /> NOTES <br /> COC Tane Wac <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 wAler DS Drum Solyds X Other Special Inslruct+ons !�� <br /> a Unbroken on Sample <br /> S Sot] O Oil DL Drum Liquids ! r*" I NOTES Y N <br /> SE-Sediment A Alr F Flsh L 7�� <br /> SO $ohd 1VI YJtp. L EPfrCLP LenchRlr' r� <br /> CUC n-rnrd 1r'!nt <br /> Iter,, nelson 7 Relinnuistied by_— Ecclvcd by-- _ E)olc —iii+te IteiilrFicnson Fieluiq�isited bv__ __flpceived by Date_ Twne _ I r'r^-zrl,r l%Hilt n -It <br /> Alf 'CZ-1111I)IO-Z <br /> �, [�!¢Cfno�nrlrit t:tot'NAnee <br /> --- Samplo Labels and COC <br /> Record? Y N <br /> NOTES <br />