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NESTON Analytics Use Onfy Custody Transfer Record/Lab Work Request - <br /> j Refrigerators WESTON Anarytics <br /> #iType Container <br /> Use Only <br /> Client Volume Samples Were: <br /> Work Order <br /> 1 Shipped or Hana- <br /> Preservative Delivered <br /> Date Recd. Date Due NOTES: <br /> RFW Contact ANALYSES <br /> Client Contact Phone REQUESTED 2 Ambient or Chilled <br /> A Use Only �. atrNOTES: <br /> Client ID/Description Mix Date <br /> Lab:D Collected 3 Received Broken/ <br /> Leaking (Improperly <br /> Sealed) <br /> Y y <br /> NOTES: <br /> 4 Properly Preserved <br /> 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 i <br /> Package Y N R <br /> 3 Present on Sample E j <br /> Matrix: W-Water DS-Drum Solids X-Other Special Instructions:' Y N4 Unbroken on Sam le <br /> S-Soil O-Oil DL-Drum Liquids p <br /> SE-Sediment A-Air F-Fish NOTES: Y N <br /> SO-Solid WI-Wipe L- EPaCLP Leachate r5 <br /> ItemReason Relinquished b Received by Date Time Item Reason Relinquished by Received by Date Time COC Record Was: <br /> 1 Present Upon Receipt <br /> of Samples Y N <br /> Discrepancies Between <br /> Sample Labels and COC <br /> Record? Y N <br /> NOTES: <br /> RFW 21-21-001/A-12/88 7-115 <br />