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WES Analytics Use Only Custody TransferAcord/Lab y Y Work Request <br /> [ R Refrr erator# WESTON Analytics <br /> I 4 XT a Container i' Use Only <br /> Client lume Samples Were <br /> Vo ��� <br /> 1 Shipped orNand- <br /> Work Order 4! 1- I Preservative Dehver4 __" <br /> Date Recd - ( Date Due _ <br /> NOTES <br /> RFW Contact ANALYSES ISN _ <br /> Client ContactlPhone K r L ! REQUESTED r I) 2 Ambient�or Chilled <br />� NOTES �r� <br /> A Use only Date <br /> Lab ID Client IDIDescnption Matrix <br /> Collected 3 Received Broken/ <br /> Lab; <br /> 1- I <br /> Leaking (improperly <br /> Seated) <br /> Y N N � <br /> NOTES <br /> 4 Property Preserved <br /> Y N <br /> NOTES <br /> 5 Received Within <br /> Folding Times <br /> N <br /> NOTES <br /> COC Tape Was <br /> 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> Package Y N <br /> 3 Present on Sample <br /> Matrix W-Water DS-Drum Solids X-Other r Special Instructions ,j r,r Y Y N <br /> S-Soll 0-011 DL-Drum Liquids y,' r r , // 4 Unbroken on Sample <br /> SE-Sediment A-Air F-Fish ` `` l�� NOTES Y N <br /> SO-Solid WI-Wipe L- EPITCLP Leeehete 1 +' + a_ f J I N jf1 A ��`/ / <br /> Item/Reason fielinquished b Received by Date Time 11temlReason Relin uished b R eived b Date Time COC Record Was <br /> v i Present Upon-Receipt <br /> of Sampled Y ' N <br /> Discrepancies Between <br /> Sample Labels and COSH <br /> Record? Y (N) <br /> NOTES <br /> RFw 21-21-001/A-12/88 7-115 <br />