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t IT fs _ — --- z T <br /> WESTONAnalytlt:sUse Only Custody Transfer RecordlLab Work Request � <br /> 0 J Refri eratorg WESTON Analytics <br /> Client A,16Z IMT Use Only <br /> Volume a Contalner Q Samples Were <br /> Work order _3rop —03—O 7 1 Shipped r F - <br /> Delivered <br /> Date Recd. ' Pate Due Preservative NOTES: <br /> RFW Contac) �'a/k ANALYSES TPrtX <br /> TdA*j <br /> Client ContocUPhone '¢ REQUESTED �- � Fpio fig 2 AAmNent or Chilled <br /> AL•bse lo Jy ClientlDJDeacription Matrix Collect oars dp�p +rb Obop dr.� 1 3Received 8rokeN <br /> t 5 (P Leaking(Improperly <br /> d) t � <br /> u o16 6 Y Scc b4�: <br /> DMI <br /> ES: <br /> S 4 erly Preserved <br /> N <br /> K <br /> 60 S -,�, 5 Received Within <br /> ing Times <br /> - . <br /> COC Tape Was: <br /> 1 Present or.Outer <br /> /9 :lL J X k Package Y CN <br /> 2 Unbroken on Oule: <br /> e_ Package Y N <br /> 3 Present on Samp <br /> Matrix: W-Water DS-Drum Sand. x-Other Special In3lr6ciioili Q 4 Unbroken on Samples <br /> S-Sell O,OII• • DL-Druml.lqulds ,yl< ScAItr{ n� 4r....��'+ no1. . �`f�O si . .�L�' . Q� U(}'�{�1J <br /> SE-Srrdim+nt A-Air F-Fish /[ ` � [ �S NOTES: Y N <br /> SO-Sbild '.''WI-Wipe •L--EPITCLPLeachat*A PjASf!c, <br /> to i eon 6 uis " <br /> Received bv Time- ltemiReason. Relinquished b4 Jved b Dote Tuna COC Record Was: <br /> S Cy o t Present Upon Race! <br /> r n of Samples Y N <br /> Disaepantdes 8etweea <br /> Sample Labels and CQQ <br /> Record? Y N <br /> NOTES: , <br /> RFW2V VIIA-12180 7-11S <br /> ;, x: 117 0 08 <br />