Laserfiche WebLink
w <br /> WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> i <br /> Retrigeralortl _ WESTON Analytics <br /> Use Only <br /> Client #rrype Container Samples Were <br /> Volumo 1 Shipped or Hand-1 <br /> Work Order ~: - ___ <br /> Preservative Delivered <br /> Date Recd. �' T Date Due NOTES: <br /> RFW Contact ANALYSES - <br /> Client Contact/Phone REQUESTED 'r.,, y 2 Ambient or Chi3led-' <br /> NOTES: <br /> A Use only Client ID/Description Matrix Dato <br /> Lab ID Collected 3 Received Broken/ <br /> ' fe Leaking(Improperly <br /> Sealed) <br /> _ 4 Properly Preserved <br /> Ly N <br /> j NOTES: <br /> 5 Received Within <br /> Holding Times <br /> 'Y N <br /> f' NOTES: <br /> COC Tape Was: <br /> ♦ 1 Present on Outer I <br /> ' \ ` Package Y r N <br /> ~ 2 Unbroken on Outer <br /> Package Y N <br /> 3 Present on Sample <br /> Matrix: W-Water DS-Drum Sollds Special Instructions: 4 Unbroken on Somata <br /> S-Sols o-CHI DL-Drum Liquids NOTES: Y N <br /> SE-Sediment A-Atr F-Fish <br /> So-Solid WS-Wipe X-Other <br /> ltertllReasen Relin uishEd h ec�ditred b Dele Time Rclln wished b Received b Qh, 17 GOC Record Was: <br /> ;- 1 Present Upon Receipt <br /> of Sampiss V N <br /> Discrepancies Between <br /> Sample Labels and COC_ <br /> Re=d? Y :N <br /> NOTES: <br /> i <br /> RFW 21-21-DDI/A-7188 7-115 <br /> i - <br />