Laserfiche WebLink
'Im I>� <br /> WESTON alytiOnlyUMM <br /> Custody Transfer Record/Lab Work Request 3 <br /> 9211 ;i 1 • Page i of <br /> Refrigerator# <br /> Est Final Proj Sampling Date 1 i #!Type Container Liquid <br /> Work Order# O -°6 r ' ( Solid <br /> volume u�d 0 `� <br /> Project Contact/Phone U e c r K S 7 `!` S Solid <br /> AD Project Manager ,)L P u Preservatives c(_ <br /> QC Del TATs ,4a ird ORGANIC .n INORG <br /> ANALYSES a >E W <br /> Date Recd Date Due REQUESTED 0 m �va = 4 p i U <br /> Account# <br /> E MATRIX Metrix } WESTON Analytics Use Only <br /> CODES Lab Lab Client VDescriptlon Chown Matrix Date Time <br /> ID Collected Collected <br /> SE-Sediment f1/11 <br />�I SL- Sludge <br /> MS MSD <br /> W- water mw—,4 <br /> 0- Da <br /> A- Au <br /> DS. <br /> Drum 701, <br /> Solids r <br /> DL-Drum If <br /> Liquids <br /> L- EPITCLP <br /> Leachate <br /> Wl- Wipe <br /> X- Other <br /> F- Fish <br /> FIELD PERSONNEL COMPLETE ONLY SHADED AREAS DATEIREVISIONS WESTON Analytics Use Only <br /> Special Instructions1 <br /> C TPH - b/QrEx comb.'#Ie <br /> 2 Samples were COC Tape was <br /> 1)Shi or 1)Prose Outer <br /> 3 r _ Packa r Y r N <br /> Aurbill# 2)Unbroken on Outer <br /> 4 2)AmbiIr/�a�G Package Y or N <br /> 5 3)R:711: 1n Good 3)PresjDt4Q Sample <br /> CondibotL Y or N or N <br /> RV J C ._1,J f o k I ,M -�1 Miah 6 4)Labels Indicate S Unbroken on <br /> Properly Preserved Sample Y or N <br /> R linqulshed Recel Date Time Relinquished Received Date Time Discrepancies Between OV,or N <br /> by by by Samples Labels and COC Record Present <br /> P 5)Received Within Upon SaM219 Rec'i <br /> COC Record) Y Holding T/�' ,g�g Y r N <br /> 1 }�: NOTES Mor N <br /> I <br /> RFW 21-21 001/A 7191 L372 L373 L375 L377 L378 Ref# Cooler# 381 596a <br /> I� <br /> E <br />