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In t <br /> WESTON Ar 'ics Use Only r <br /> Custody Transfer Re..ord/Lab Work Request ' <br /> Page of <br /> Client i y •1 1, /t 1 77T✓r Refrigerator# <br /> Est. Final Proj. Sampling Date j #/Type Container Liquid <br /> Solid <br /> Work Order# �: ' •�� "t "` "" � � ��'� Li uid I i <br /> Volume <br /> Project Contact/Phone# Solid <br /> AD Project Manager Preservatives <br /> QC Del TAT ORGANIC INORG <br /> ANALYSES Q Q N m <br /> Date Rec'd Date Due REQUESTED <br /> O Z a)U a) y z <br /> Account# > m a a_ _ U <br /> t <br /> MATRIX - - <br />-r - <br /> -CODES-­ - - - MatrixLab - Date - <br /> S- Soil a Client ID/Description QC Matrix Collected <br /> SE- Sediment Chosen <br /> SO-Solid (✓) <br /> SL- Sludge <br /> W- Water I ? 1 / t` t X. <br /> O- Oil <br /> A- Air <br /> DS-Drum <br /> Solids <br /> DL- Drum <br /> Liquids <br /> L- EP/TCLP <br /> Leachate <br /> WI- Wipe <br /> X- Other <br /> F- Fish <br /> Special Instructions: DATE/REVISIONS: WESTON Analytics Use Only <br /> 1. <br /> Samples were: COC Tape was: <br /> 2. 1)Shipped_or 1)Present on Outer <br /> 3 --Hand Delivered Package Y or N <br /> 4 Airbill# 2)Unbroken on Outer <br /> 2)Ambient or Chilled Package Y or N <br /> 5_ - 3) Received in Good 3)Present on Sample <br /> 6. Condition Y or N Y or N <br /> Relinquished Received Relinquished Received Discrepancies Between 4)Properly Preserved 4)Unbroken on <br /> Date Time Date Time I Y or N Sample Y or N <br /> I by by by by Samples Labels and <br /> COC Record? Y or N 5) Received Within COC Record Present <br /> NOTES: Holding Times Upon Sample Rec't <br /> Y or N Y or N <br /> RFW 21-21-001/A-8/90 L372 L373 L375 L377 L378 Ref# Cooler# G77-596a <br />