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WESTON A'nolytics Use only Custody Transfer Record/Lab Work Request <br /> SooS� � ..-. <br /> Relri eratorit c q, WESTON Analytics <br /> Client "'a' 'fC"- M� 1� i r�� a Container i Use on) <br /> _��. Volume XIL Samples Wer <br /> Work Order i Shipped r Nand• <br /> Date Recd. S.7i w Preservative <br /> D e Due Delivered <br /> RFW Contact ANALYSES 902.1C NOTES: <br /> Client ContacUPhone REQUESTED rvtDiO 2 Amtke or Chiu <br /> A Use Only 1 <br /> Dale idDT1 S: <br /> Lab IU Client ID/Description tAatrix <br /> Collected <br /> t i ,S S a 3 Received Brokery <br /> _ Leaking(Improperly <br /> Sealed) <br /> Y <br /> NOTES: <br /> � x <br /> / �( a4- 4perly Preserved <br /> a Y N <br /> a NOTES: <br /> X x <br /> tit5 Received Within <br /> `l ?3ing Times <br /> o i ' !"Cl? N <br /> x OfE5: <br /> k <br /> aG COG Tape Was: <br /> B 7 Z t Present on Outer <br /> { X Package Y I <br /> 2 Unbroken on Outer y t <br /> Package Y N <br /> 3 Present on Sample <br /> mss: W'-Water OS-Onim Sollos X'-Other Special Instructions-. n__ .� ii w K Y <br /> S-Soll 0-011_ OL-QrumL.1qutdsrJ' 3� 4 Unbroken onSample <br /> SE-Sediment A;Air F-Fish - fplll8� NOTES: Y <br /> SO-Solid Wt,-.Wipe L•.EPlrCL P Leachate N <br /> ItemlRaaso Ralln u shed civ bv Dat -Time Itam.ReaSOn Relin uished is Received b COC Record Was: <br /> z Date Time <br /> o� F 1 Present Upon ecei <br /> R. <br /> I. <br /> of Samples Y N <br /> Discrepancias Between <br /> Sample LaWls and C ^ <br /> Record? Y N <br /> " ' iVOTES: <br /> RFW 21.21-L:. -12198 <br /> { <br /> J <br /> 1 <br />