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1 <br /> - <br /> GP � b � <br /> r CIA VA� <br /> WESTON Analytics Use Only ate.-ustody Transfer Record/Lab 'Work Request _ <br /> P efrigeralorM WESTON Analytics <br /> Client • <br /> I */Type Container r,� Use Only <br /> Werk Order '-' ' Volume Samples Were: <br /> -- 1 Shipped or Hand. <br /> —�-�-Uate Due Date Recd. Proservative _ ___ Delivered <br /> aFW Co;tt2ct ANALYSES NOTES: <br /> _ . <br /> 011ill <br /> CHant ContaeVPhone REQUESTED 2 Ambient or Chilled <br /> A Use Only NOTES: <br /> Lab ID Client IDrDescription Matrix Date <br /> Collected 3 Received Brokenl <br /> F= <br /> i <br /> ` H Leaking{improperly <br /> Sealed) <br /> r7 Y N <br /> NOTES: <br /> $ d Properly Preserved <br /> Y N <br /> yO� NOTES: <br /> 5 Received Within <br /> Holding Times <br /> Y N <br /> NOTES: <br /> / COC Tape Was: <br /> t Present on Outer <br /> Package Y N <br /> 2 Unbroken on Ou!er <br /> Package Y N <br /> i~ 3 Present on Sample <br /> PAntrix: tY-Water DS•Drum solids Speciallnstructions: ;r. -r. _ _ Y N <br /> S-Soil 0-011 i)L-Ill Liquids 4 Unbroken on Sample <br /> SE-9adin»nt A-Alm F-Fish 1 NOTES: y N <br /> 50-Staid y!1•Will X �i <br /> •Oiti • .:.. , <br /> 1letitlReason Reiin uish¢d b Recel ed b Dat Time r COC Record Was: <br /> :.,/ --. `J� I r.- �_ _ r*.r,_ j e i f had b Reeeived e- Time <br /> $ 4 _ # Present Upon Receipl i <br /> o1 Samples Y N <br /> i <br /> Discrepancies Between <br /> Sample Labels and COC <br /> Record? Y N j <br /> NOTES: } <br /> RFW 27-21.001/A.7M <br /> 7-115 <br />