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WESTONMlytics Use ON 1117 <br /> Custody Transfer Record/Lab Work Request <br /> Page of <br /> ,n Refrigerator# <br /> E Ffnalf Date -� #/Type Container Sand <br /> U � <br /> � Volume L uw <br /> Solid <br /> 11: m � 2 Preservatives <br /> # ` ORGANIC IN RG <br /> ANALYSES <br /> E Date Rec'd Date Due REQUESTED —�" z m U m d Z <br /> Account# > m a(L z 11 2 <br /> sgafwX � }Matrix WESTON Analytics Use Only <br /> Qc <br /> ESI Lab CllerrtlDlDescHptlon Chosen Matrix Collected <br /> Time <br /> ID Collected Collected <br />, r s <br /> M5 MSD <br /> t � <br /> k <br /> tI� <br /> rum <br /> J4, <br /> ru - <br /> $ qs <br /> FIELD PERSONNEC COMPLETE ONLY SHADED AREAS DATE/REVISIONS WESTON Analytics Use Only <br /> Special Instructions 1 <br /> � 2 <br /> Samples were COC Tape was <br /> 1)Shipped_or 1)Present on Outer <br /> 3 Hand Delivered_ Package Y or N <br /> Airbdl# 2)Unbroken on Outer <br /> 4 2)Ambient or Chilled package Y or N <br /> 5 3)Received in Good 3)Present on Sample <br /> Condition Y or N Y or N <br /> 6 4)Labels Indicate 4)Unbroken on <br /> Properly Preserved Sample Y or N <br /> Relinquished Received Date Time Relinquished Received Date Tlme Discrepancies Between Y or N <br /> b y by by Samples Labels and 5)Received Within Upon Sample RoetCOC Record nt <br /> COC Reoord? Y or N Holding Times Y or N <br /> NOTES Y or N <br /> a <br /> RFW 21-21-001/A-7191 L372 L373 L375 L377 L378 Ref# Cooler# 381 596a <br /> I <br />