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t i eU <br /> WESTONAnelyt.cstlseOnl Custody 'TransgerRecord/Lab Work Request <br /> 5 I a., .�. <br /> C S RetrE erataraY WESTON Analytics . <br /> Client <br /> aT.r l !/Type Container Use Onl <br /> 6 _ ._pyre Volume Samples <br /> E Order 1 Sttipp or Hand- <br /> Date��d Data Due 3o Proservative ,� Dellve <br /> TtTFW Co, ted NOTES: <br /> ANALYSES � >�Tx <br /> Client Contacr/Phone REQUESTED !t j 2 Ambie a Chi![ <br /> A Use Only NOTES <br /> Lsb 1D Client ID/Doacrlption Matrix Data WoD8o <br /> r <br /> Collected <br /> ICU_ 2,02 CC- 3 Received Broken/ <br /> Leaking(Improperly <br /> a oSeated) <br /> 3 ,cL` S �, c/ Y <br /> NOTES: <br /> 4 sly Preserved <br /> Y--€J N <br /> S; <br /> 5 Received Within <br /> a Times <br /> Y N <br /> S: <br /> COC Tape Was: <br /> I Present on Outer <br /> -. Package Y N <br /> 2 Unbroken on OuIe <br /> Package Y N <br /> 3 Present on Sampt <br /> dtW-Wsrsr DS-Drum.^.ollds x•Other 5petlef Instructions: Y N <br /> 9-Solt 0-011 DL-Drum bq'ulds 4 Unbroken on Sa <br /> BE-Ssment A-Alr F-Fish <br /> 1 NOTES: Y ht <br /> O-Solid Wl-Wipe L- EP/i'CLPLeeehbta c <br /> s I a ed --Receive-d at a [IetnlRe9so Relln uTs 6 Received by <br /> hate a COC Record Was: <br /> � � 1 Present 1} cele <br /> at Sam s Y <br /> t Discrepancies etwaaq. <br /> Sample Labels and C <br /> Record? Y <br /> NOTES: <br /> HFW 21.21-001/A-12/Ea <br /> 7-f1S <br /> $GOl� S1r ; <br />