Laserfiche WebLink
+��rml;licsUse Only Custody Transfer RecordiLab Work Request �..� <br /> Refrigerator: W Usee Only <br /> Analytics <br /> :rType Container i Onrrlv <br /> Samples Were: <br /> Client Volume 1 Shipped or Hand- <br /> _ ....-... Work Order ,-'+ �. -ter•r, Delivered <br /> Date Recd. Date L Due <br /> PreserJaiiva __ NOTES: <br /> ' RFW Contact ANALYSES i <br /> Client ContectlPhona a''+ r '- REQUESTED 2 Ambient a Ch:"ed <br /> NOTES: <br /> A U"Only Client IDlDesxi tion Matrix Dans � <br /> P 3 Received Brokenl <br /> taty ID <br /> Collected <br /> �. �;� ;� r-,, t.: ,-i+• Leaking(improperly <br /> Sealed) <br /> 4_4F rs Y N <br /> r'. .�D NOTES: <br /> 4 Properly Preserved <br /> Y N <br /> 4 `� - I _ - • r NOTES: <br /> 5 Rscai•red 1�f <br /> Hciding Times <br /> Y N <br /> NOTES: <br /> fo <br /> _# COC Tape Was: <br /> y 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on 03t9r <br /> Package Y N <br /> 3 Present on Sample <br /> Y N <br /> S NIAMr W-Wtl*r DS-13mm Sol€ds <br /> • Special Instructions: t' c= 4 Unbroken an Sample <br /> S-Sall O-Oli DL-DrurnUquids <br /> NOTES: Y N <br /> SE-Sedimtnt A-Air F-Fish <br /> s0-Soil l Wi-Wipe X-Other j <br /> ltemlAeason Relinquished b _Receivedb eta me r R I u s4sed b ` Raeeired b Date Time C10 �WasR <br /> Po* pt <br /> at Samyes Y N <br /> E Disaepancies Between <br /> Sample Labels and COC <br /> _ Record? Y N <br /> NOTES: <br /> 1 <br /> RT W 21.21.0611:71M 7-115 <br /> } <br />