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WESTON Analytics Use Only <br /> Custody Transfer Record/Lab Work Request r <br /> WESTON Analytics <br /> -- <br /> ?q09 <br /> � O� S G�Q Retri eratortt �� Use Only <br /> fl/T a Container -g"r y Samples Were: <br /> 1 Shipped and- <br /> Client �i`�s� Volume <br /> tni�:-0 l—'0000 Delivered <br /> Work Order Preservative NOTES: <br /> Date Recd. Date Duey�«--.��- <br /> few 7'141-1ANALYSES xr 640 2 Ambient o hilted <br /> RFW Contact REQUESTED �� 1� NOTES: <br /> Client ContacUPhone w <br /> Date OTOG oFK Mp6T11 3 Received Broken/ <br /> A Use Only Client ID/Description Matrix Collected <br /> Lab►D Leaking (Improperly <br /> Sealed) <br /> Y N <br /> 00� NOTES: <br /> rop rly Preserved <br /> N <br /> NOTES: <br /> 5 Received Within <br /> g Times <br /> 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 Sampl <br /> Y N <br /> 4 Unbroken on Samp <br /> Matrix: W-Water DS-Drum Solids X Other Special Instructions: NOTES: Y N <br /> S-Soll 0-011 DL-Drum Liquids. <br /> SE-Sediment A-Air F-Fish <br /> SO-Solid WI Wipe L- EP/TCLP Leachate COC Record Was: <br /> 1 Present Upon Rece' <br /> Item/Reason tReirinnqugiLsIh�edb MTt'me Relin wished b Received b Date Time of Samples Y N <br /> Discrepancies Between <br /> Sample Labels and C <br /> Record? Y N <br /> NOTES: <br /> 7-115 <br /> RFW 21-21-o01/A-12/88 1 <br />