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I p-1 M = M = = = 7 M M = = = = r M <br /> WESTON Analytics Use Only Custody Transfer Record/Lab Work Request _ <br /> 9 2 0 9 5 7 8 4 14 wE Ts i)N Analytics <br /> �y Refri erator <br /> Client AIC E6 — M ck or M f , � e Container Use Only <br /> Q r Samples Were <br /> ig$8, /` — o l Volume t�� 1 Shipped or an <br /> Work Order G Delivered <br /> Date Recd 7/1012: Date Due f_ Preservative NOTES <br /> RFW Contact PCUAI ANALYSES 't S <br /> REQUESTED 4�. 2 Ambi eni or C hill <br /> Client ContacVPhone p NOTES <br /> A Use Only Client ID/Descnption Matrix Date <br /> Lab ID Collected 3 Received Broken/ <br /> ,got 1h�.J — O ro n Leaking (Improperly <br /> 0 0 4J S 9��0 PI Sealed) <br /> Y 6) <br /> NOTES <br /> 4 Properly Preserved <br /> N <br /> NES <br /> 5 Received Within <br /> Holding Times <br /> V <br /> NOTES <br /> COC Tape Was <br /> 1 Present on Outer <br /> Package Y <br /> 2 Unbroken on Outer <br /> Package Y <br /> 3 Present on Sample <br /> L= =LL I —i Y <br /> Matrix W-Water DS-Drum Solids x-Other Special Instructions W 8 rEX T P N.v a Unbroken on Sample <br /> S-Soil 0-011 DL-Drum Liquids NOTES Y N <br /> SE-Sediment A-Air F-Fish Ww�btnl� <br /> SO-Solid WI-Wipe L- EP/TCLP Leachate <br /> Item/Reason Relinquished b Received bv Date Time ItemlReason Relinquished by Received by Date Time COC Record Was <br /> 10 1 Present Upo eceipt <br /> a ' of Samplerj N <br /> Discrepancies Between <br /> Sample Labels and COC <br /> Record? Y <br /> NOTES <br /> RFW 21-21-001/A-12/88 7-115 <br />