Laserfiche WebLink
ow MEN11ir NOR � <br /> 1 <br /> WESTON Analytics Use Only <br /> E o al S U 3 t iOustody Transfer Record/Lab Work Request T • <br /> Page of i <br /> Client , 3 Refrigerator# <br /> L i v i d <br /> Est Final Prol Sampling Date #/Type Container Solid <br /> Work Order# <br /> * Volume Liquid `t. <br /> Project Contact/Phone# Solid <br /> AD Project Manager ' ' Preservatives I <br /> OG _ ', DelTAT ORGANIC INORG <br /> ANALYSES + <br /> Date Recd Date Due REQUESTED p 1 z m U <br /> Account# > m o-d x <br /> eu►rRlx z <br /> WESTON Analytics Use Only } <br /> atrix <br /> CODES C <br /> me <br /> S- Soil Db Client IDIDea rlption :C:hCo'aenMatrixColDfected Coate llected <br /> SE-Sedimentf✓1SO-Solid S MSD <br /> SL-Sludge <br /> W- Water li y, ' ,. v 1't I' #i `t ? Y a� <br /> 0- Oil X <br /> A- Air '� -k") '- � � <br /> DS-Drum <br /> Solids jj f f )L' ` V <br /> DL-Drum , <br /> Liquids 60 <br /> L- EPfTCLP <br /> Leachate A 11 f )( X ly <br /> wl-wipe <br /> i X- Other mw it { , = <br /> F- Fish <br /> < < <br /> FIELD PERSONNEL COMPLETE ONLY SHADED AREAS DATEIREVISIONS WESTON Analytics Use Only <br /> Special Instructions I r i , 1 <br /> 2 Samples were COC Tape was <br /> 3 1)Shipped_o�)Present on or ter( <br /> j l .-Herctd"[T�Iiver Package Y or N <br /> A — 2)Unbroken on Outer <br /> E <br /> A , 4 2)Ambient or Chilled Package Y or N <br /> r <br /> 3)Recei in 3)Present on SampJa <br /> i Condibon(l' or N Y oK N <br /> i6 4)Labels Indicate 4)Unbroken on <br /> Properly Pre rved p <br /> Relinquished Received r' Date Time Relinquished Received pate Time Discrepancies Between or N Sam to Y or N <br /> COC Record Present <br /> i by by by by Samples Labels and 5)Received Within Upon Sample Rec t <br /> COC Record? Y o6. Molding Tl" `� <br /> NOTES F Y or N �- Y oY N <br /> RFW 21 21 001/A 7M L372 L373 L375 L377 L378 Ref# Cooler# Sat 596a <br /> I <br />