Laserfiche WebLink
WESTO nalybcs Use Only <br /> Custody Transfer Record/Lab Work Request <br /> Page of T <br /> 07 <br /> w <br /> Refrigerator# <br /> �£ <br /> #!Type Container <br /> 3 <br /> Y r` v Volumet91�i <br />` Solydt <br /> to - *� Preservatives <br /> t ANALYSES ORGANIC INORG <br /> Date Recd_ - - Date Due REQUESTED "'" ¢O z ayr M m m Z <br /> i <br /> Account# > In a IL = g 0 <br /> 04AML F <br /> WESTON Analytics Use Only <br /> :ChocCion <br /> atrix <br /> �Sloosd ID Client ID1Descrlpilon Matrix Date Time <br /> �} Collected Collected }� <br /> SOLEI ?904 MSD m <br /> $t,�Siudpe_ <br /> O I <br /> bit <br /> lot <br /> f <br /> W ` t• , . T ''� �_ g F rs `_ +y <br /> I� F- ftsh Y # A f 4 \ ^ t~ 4 Y. <br /> In <br /> 2 <br /> i <br /> + e8—,/ik• _e#A*` .( }1" <br /> °'^ r �" <br /> M A <br /> R T3 a'6 <br /> FIELD PERSONNEL COMPLETE ONLY SHADED AREAS DATEIREVISIONS `� 8 <br /> Special Instructions 1 WESTON Analytics Use Only <br /> F <br /> ok V!du 2 Samples were COC Tape was <br /> 101 a In 4 i c,r s e,0{ i rw I tP C 3�t.(n - 1)Shipped_or i)Present on Outer <br /> Hand Delivered Package Y or N <br /> k 4 Airbtll 4 Unbroken oOuter <br /> 2)Ambient or Chilled PackageY or <br /> S! 3 Received in Good ) P <br /> } 1 6 Condition Y or N 3 Present on Sample <br /> �� ( Y or N <br /> 6 4)Labels Indicate 4)Unbroken on <br /> Property Preserved Sample Y or N <br /> Relinquished Received Date Time Relinquished Received Date Time Discrepancies Between Y or N <br /> by,, by by bySamples Labels and 5 Received Within �COC Record Present <br /> Upon Sample Rec t <br /> COC Record? Y or N Holding Times Y or N <br /> NOTES Y or N <br /> Y <br /> RFW 21-21 001/A 7191 L372 L373 1375 L377 L378 Ref# Cooler# 381-596a <br />