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3 'est -= <br /> WESTON Alnelytics Use Only <br /> Custody Transfer Record/ <br /> Work Request <br /> �.�.r.�.., <br /> .oma..= WESTON A� nalybc3 <br /> r „J ReSNgerata� _ Use only <br /> f !!/Type Container Samples Were: <br /> Client <br /> Volume1 Shipped or;land- <br /> Oeliverer�' <br /> Work Order - - - preservative - - :, NOTES- <br /> - Vate Aec'd... <br /> RFV Contact ANALYSES - ` 2 Ambient or CSilled <br /> Clisri:ContnctJPhone REOUESTES]$ NOTES: <br /> RA lY�r Anllr Matrix data 3 Received Broken! I <br /> Client IE Meseripifnn Collected <br /> Lob hl Leaking(Improperly <br /> H; J_ — ,_t• Sealed) <br /> NOTES: <br /> _ ' 4 Proper!yPreserved i <br /> NOTES: <br /> 5 Received Within <br /> y - Holding Times <br /> LTJ 1 y Y N <br /> _ — - _.4 NOTES: <br /> r� COC Tape Was: <br /> a _ 1 Present on Outer I <br /> Package Y d <br /> 2 Unbroken on Outer ! <br /> Package Y N <br /> 3 Present an Sample I <br /> ' • d Unbroken on Sample <br /> W-Weter DS•DumSo+ld�SPI lnstrue.•ons: NOTES: Y <br /> N <br /> S-SiAl O-()I DL•Drum Liclud i <br /> c �l <br /> SZ.Sedimant A•Alr F•lists <br /> SO-Solid WI-Wipe X-3ther a <br /> e �~= Tima COC Record Was: <br /> N:dnlJReason Aeiln ulst•lad b ilhd tr Udtd Timd Rali uished by- Reeeived b Uato present Upon Receipt <br /> oS Sampie8 Y N <br /> !,NscaepantaesBetween 1 <br /> Snmpla Labels and COC i <br /> f — Record? Y <br /> i NOTES: i <br /> 7-115 i <br /> FIFW 21-21.001/A-7188 I <br /> . I <br /> r <br /> J 1 et�►��` i1�1 <br />