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WESTON Analytics Use Only <br /> Custody Transfer Record/Lab Work Request `"'-`v"'�_ <br /> Page of _ <br /> Client M,n,e Q Retrigeretora <br /> Est. Final Pro].Sampling Date 1 S #rt Li uid <br /> ype Container Solid <br /> Work Order# S –ooZ–o – OOO I <br /> Li uid <br /> Project ContacUPhone# 2 Volume <br /> – iy Solid <br /> v`. <br /> AD Project Manager Preservatives o <br /> OC ---Del TAT ANALYSES ORGANIC INORG <br /> Dale Recd _ _Date Due REQUESTED —� a0 z �� ^1 <br /> Account# > m as 2 U Z <br /> MATRIXMatrix + WESTON Analytics Use Only <br /> CODES: <br /> S- Soil D to ID/Descrlptloo ChosenMatrix OC Date Time <br /> SE- Sediment Collected Collected <br /> SO-Solid MS MSD <br /> SL- Sludge <br /> W Water <br /> 0- <br /> A- Air <br /> DS-Drum <br /> Solids <br /> DL-Drum f � <br /> Liquids <br /> L- EP/TCLP p <br /> Leachate SD 3� 3 S <br /> WI- Wipe <br /> X- Other 3 aLJJ YC <br /> F- Fish <br /> 2- E(I I __ J loya <br /> FIELD PERSONNEL:COMPLETE ONLY SHADED AREAS DATE/REVISIONS: <br /> Special Instructions: 1, WESTON Analytics Use Only <br /> R11 y'tG Z Samples were: COC Tape was: <br /> J I 1)Shipped_or 1)Present on Outer <br /> exA"r� .Lb-- 4:,,rpo 3. Hand Delivered_ Package Y or N <br /> Airbill p_ 2)Unbroken on Outer <br /> - \ -4- (V ,�r•�lQ r-n Po 4. 2)Ambient or Chilled Package Y or N <br /> g 5 YV 5, 3)Received In Good 3)Present on Sample <br /> Condition Y or N Y or N <br /> �- Pr-PST. j L n 4)Labels Indicate 4)Unbroken on <br /> Relinquished Received Date Time Relinquished Received Properly Presor erved Sample Y or N <br /> Y by by <br /> b b Date Time Discrepancies Between <br /> COC Record Present <br /> Samples Labels and 5)Received Within <br /> Upon Sample Rec't <br /> COC Record? Y or N Holding Times <br /> NOTES: Y or N <br /> Y or N <br /> RFW 21 21-001/A-7/91 L372 __ L373 — L375 — L377 _ L378 Ref# Cooler# 361-596a <br />