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Refrigerator# <br /> r, A/Type Container .1 <br /> Volume <br /> 1 PfCserVatives ; <br /> r I Del TAT ORGANIC IN RG <br /> ANALYSES o i5 <br /> Date Recd Dale Due REQUESTED --� O Z <br /> Account# > m n-n- T v <br /> Leh Matrix Date <br /> ID Client ID/Descripllon OC Matrix Collected <br /> Chosen <br /> 1 <br /> {ill la rr+i r;, <br /> cllal Instructions: DATE/REVISIONS: <br /> WESTON Analytics Use Only <br /> 1 t. <br /> Samples were: COC ape was: <br /> — 2. _ — 1)- hipped=Ar - 1}P� tin-Outer <br /> - — - - - 3 Hand Deliv-X Package or N <br /> Alrblll# <br /> 4. 2)Unbr en on Outer <br /> ' <br /> - 2)Ambient r Chflle Pac ge or N <br /> -- 5. 8 <br /> 3)Received in Good 3)Pres ton Sample <br /> 6. Conditio" or N or N <br /> Relinquished Received Relinquished Received Date Time P 4)Properly sery 4) .pl en on <br /> Date Time Discre ancies Between Sample or N <br /> by by by by Samples Labels and <br /> COC Record? Y or\J 5)Received Within COC necorrl Present <br /> NOTES: \J Holding Tryp)or <br /> Upon Sample RecA <br /> N (Y)or N <br /> nFW 2121-001/A 8/90 L372 L373 L375 L377 L378 Ret# Cooler# G77-596n <br />