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'a <br /> WESTON Analytics Use Only <br /> 21 p p 3 I Custody Transfer Record/Lab Work Request <br /> �L c- Refrigerator# Page of <br /> Client <br /> Liquid <br /> Est.Final Pro].Sampling Date #TType Container Solid <br /> Work Order# Li uid <br /> Volume <br /> Project Contact/Phone# Solid <br /> AD Project Manager Preservatives <br /> ORGANIC INORG <br /> QC Del TAT <br /> ANALYSES <br /> 1 -2r 5 <br /> Date Recd Date Due REQUESTED —� Z U)U 1 a> z <br /> Account# > m a-a = U <br /> + ESTON Anal y ics Use Only <br /> MATRIX Matrix 1 <br /> CODES: Lab OC Date Time <br /> S- Soil ID Client ID/Description Chosen Matrix Collected Collected <br /> SE-Sediment ✓) <br /> SO-Solid MS MSD -) <br /> SL- Sludge 1 / <br /> W- Water <br /> O- Oii <br /> A- Air }• c + ! w r(�. �� /.-� -` <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 /> FIELD PERSONNEL:COMPLETE ONLY SHADED AREAS DATE/REVISIONS: WESTON Analytics Use Only <br /> Special Instructions: 1 <br /> 2 Samples were: COC Tape wass' ' <br /> 1.Shipped or 1)Present on Outer <br /> 3 Hand Deliveredy Package Y or N <br /> 2)Unbroken on Outer <br /> 4. 2)Ambien pr Gilled Package Y or N <br /> 5 3)Received in Good 3)Present on Sample <br /> Condition Y or N Y or N <br /> 8 4)Labels Indicate 4)Unbroken on <br /> Properly Preserved <br /> Relinquisd Received <br /> Sample Y or N <br /> Date Time Relinquished Received Date Time Discrepancies Between- Y or N <br /> by ?by by by Sam les Labels and r'' r COC Record Present <br /> Samples / ) 5)Recdived Within Upon Sample Rec't <br /> ,- COC Record? Y or' N Holding Times Y or N <br /> NOTES: ' Y or N <br /> r ,. <br /> RFW 21-21-001/A-7/91 L372 L373 L375 L377 L378 Ref# Cooler# 381-596a <br />