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M <br /> Z;7 lk=;-7 �woSS r� I - <br /> WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> Refrigerator# WESTON Analytics <br /> � � .�� .� ,11Type Container � <br /> Client Use Only <br /> Volume Samples Were: <br /> Work Order - ' - -^-t-;:': 1 Shipped or FOUL" Hand- <br /> Date <br /> H Reed._ - Date Due Preservative NOTES; <br /> RFWContact )­ i-\• i-, <br /> ANALYSES <br /> �' �. -?w^ r REQUESTED it :> �„i• 2 Ambient or Chilled <br /> A .111 Client Contact/Phone '--x NOTES: <br /> A Us.Only Date i <br /> Lab ID Cfiont IDrpeSaiptfon Matrix <br /> Colfect.+d 3 Received Broken/ <br /> O Leaking(Improperly <br /> Sealed) N <br /> .. , <br /> ' NOTES: <br /> ► u , I s- _ 4 Properly Preserved <br /> V' ',ice r.` NOTES: N <br /> S Received Within <br /> Holding Tunes <br /> Y N <br /> NOTES: <br /> COC Tape Was: <br /> -_-.-----. -. 1 Present on Outer # <br /> Package Y N <br /> 2 Unbroken on Outer <br /> Package Y N <br /> 3 Present on Sample <br /> Y N <br /> Illebix: w-w.nr D5-Drum Soilrfa Special Instrua tions: ;" - 4 Unbroken on Sample <br /> S-Soll O-An AL-Drum LAqukla <br /> SE•Sedlm.nt A-Air F-Fish NOTES: Y N <br /> i So-Snlld W!-Wipe X-Orhx + , <br /> ftewReeson Relin ufshed by elved by Onto Time 'Relinguliheiiby, Received by 12819 Time COC Record Was: <br /> E _ - t Present Upon Receipt <br /> }. ! I �` of Samples Y N <br /> i Discrepancies Between <br /> E Sample Labels and COC I <br /> Record? Y N <br /> NOTES: <br /> RFW 21-21•001lA-7188 _6,LA) f� 7-115 <br />