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_WE5T0?V Analytics Use Only CuMody:Transfer R6cord/Lab`Work Request <br /> WESTGN Anatytics <br /> Relri erato+;0Use Oniy. <br /> ttri c-Containor Samples Were: <br /> Chert Volume 1 Shipped or Hand--�-N <br /> prtivered ' <br /> Work order Preservative _ = NOTES: <br /> Date Recd. Date Due <br /> ANALYSES 2 Ambient or Chilled <br /> RFW Contact ^� <br /> REQUESTED NOTES <br /> Client ContactlPhone ! U <br /> A Usa OnlyMatrix Date 3 Received BrakerV <br /> Lab 10 Client ID]Description Collected <br /> Leaking(Improperly <br /> t <br /> Sealed) <br /> � <br /> 3 NOTES: <br /> r ; 4 PrOperly Preserved <br /> y i N <br /> ` iVOT1=5: <br /> 5 Received With'n <br /> HoOng Times <br /> y N <br /> NOTES. <br /> GOC Tape Was: <br /> 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> 1 <br /> T Package Y N <br /> 3 Present on Sample <br /> Y N <br /> 4 Unbroken on Sample <br /> aAetrix: W•Waler DS-Drum Solids %-Other Speciallnstructions, NOTES: y N <br /> S-SoH <br /> 0-011 OL-Drum Liquids <br /> SE.Sediment A-Air F•Flsh <br /> $O Solid Wt-Wipe L• EPITCLP"echata <br /> COC Record Was: <br /> Item1Reason Re1in wished b Received b Date Time }tentlReas�an Relin wished 4 Received 6 Date Time 1 Present Upon Receipt <br /> ,7 of Samples,Y� N <br /> Discrepancies-tetween <br /> Sampla Labels and CDC - <br /> Record? Y , N <br /> NOTES:, <br /> z 7•t15 <br /> RFW 21-21-001/A•I2J88 <br />