Laserfiche WebLink
I <br /> WESTON Analytics Use Only <br /> 9 .3 <br /> pQ 8e1 4 #�,Custody,Transfer Record/Lab Work Request <br /> � � Page of <br /> Refrigerator# <br /> #/Type Container Soil zap <br /> 0 <br /> Volume <br /> iiSolor r <br /> F <br /> I, AD Preservsthres �'� v " L <br /> ORGANIC INORGi , <br /> ANALYSES <br /> eed REQUESTED Date Due �� O z �U m <br /> Date Ra ' <br /> Account# v - <br /> WESTON Analytics Use Only { <br /> MA Matrix- <br /> 00 Lab 0C ^Matrix Date . Time <br /> ID Client wescriptlon ' : Chosen Collected Collected , <br /> S <br /> $O id - - <br /> "Y MS I MSD <br /> SLa S1udg E <br /> W,grater <br />�I <br /> 0 ,�I, ;� - s <br /> �y <br /> A�r� s F � s s ,� is <br /> r S r` / .r1 x� r t W k � Y m , ' —L, <br /> .Mid$ ,.cr 'H <br /> r <br /> r A �' 4p <br /> D��,� 4& h. :c Y <br /> L� <br /> t <br /> a3 k�.�' t `i d <br /> K. <br /> I A <br /> x <br /> a <br /> FT ie > <br /> Lj <br /> FIELD PERSONNEL COMPLETE ONLY SHADED AREAS DATEIREVISIONS <br /> WESTON Analytics Use Only <br /> Special Instructions TP h- Gjf-Tt X 1, <br /> " <br /> 2 Samples were COC Tape was <br /> i)Shipped_or 1)Present on Outer <br /> 5 A m f f P� ra r J\rr V e i Ani k c J!� <br /> K3 -HandDelivered Package Y or N <br /> ^J r i - "gill-t­ :=:�> 2)Unbroken on Outer <br /> I <br /> j <br /> 4 ' 2)Ambient or�Mled` package Y or N <br /> I j 3 Kocelved in Good <br /> Re f Dr T 09 ��t i J44n i # S 1 5 Condition(Y-or N 3}Present on Sample <br /> 1 6 4)Labels Indicate 4)Unbroken on <br /> ,, (4 YvinlAtIrIA Properly Prgserved Sample Y or N <br /> Relinquished Received Date Time Relinquished Received Date Time Discrepancies Between 'Y or N COC Record Present <br /> i by by by Samples Labels and 5)Received Within Upon Sample Rec't <br /> F !! } COC Record9 Y or N Holding Times �Y ar N <br /> NOTES I Y o4 N <br /> RFW 21 21-QU11A 7191 L372, L373 L375 L377Y L378 Ref# Cooter# 381 596a <br />