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WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> Refri erator# WESTON Analytics <br /> Use Only <br /> #/Type Container ple <br /> `' !� � ` i'�~ ,� i` gip" ` ` ` � Samples Wer : . <br /> Volume 1 ShiPeed �-and- <br /> Client j <br /> Work Order Preservative C�elivered I <br /> Date Rec'd. Date Due NOTES: <br /> RFW Contact ANALYSES <br /> REQUESTED _ 2 Ambient �hiller <br /> Client Contact/Phone NOTES: .r� �j�30� <br /> A use only Client ID/Description Matrix Date <br /> LaIBroken/3 b <br /> D Collected Received Broken/ <br /> 13"1470 J.. cis 5 1-11 <br /> Leaking (Improperly <br /> Sealed) <br /> bC y 7J ) e L�c rL 11 m Y <br /> z77 �1 �� rt l� _ y a o CND <br /> NOTES: <br /> ` q .Z tl vNio <br /> F&y Z73 > >< <.-4 i. 5 Y n N <br /> C z 4 Properly Preserved <br /> 01U)� @ CF6 `"- Y N <br /> Z o - r y o . <br /> 0 W 0 3'A o NOTES: <br /> m�� ?1. Cl) <br /> rn n 0 �LL x 00 5 Received Within <br /> W o �- 2 c N g C6 (ding Times <br /> NW �NrAN N <br /> N ES: <br /> i <br /> i <br /> I <br /> COC Tape Was: I <br /> 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> Package Y N <br /> 3 Present on Sample <br /> Y N <br /> ti Metrix: W-Water DS-Drum Solids x-Other Special Instructions: 4 Unbroken on Sample <br /> S-Soll 0-011 DL-Drum Liquids + + NOTES: Y N <br /> SE-Sediment A-Air F-Fish 'ICId �61 n^Q�yS< 5 C<SI��Ac� <br /> SO-Solid WI-Wipe L- EPlTCLP Leachate <br /> COC Record Was: <br /> Item/Reason a!'n uished by Received by Date Time Item/Reason Relinquished by Received by Date Time 1 Present Upoq Receipt <br /> of SampleCY� N <br /> Discrepancies Between ? <br /> Sample Labels and COC <br /> Record? Y V <br /> NOTES: <br /> 7-115 <br /> RFW 21-21-001/A-12/88 <br />