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WESTON Analytics Use Only Custody Transfer Record/Lab Work Request mmm <br /> Refrigerator* R-L WESTON Analytics <br /> t Use Only <br /> Q Tle S #/Type Container Samples <br /> Client _ Volume 1 Shipp d or Han - <br /> Work Order S4�r — I I Deliver <br /> f Preservative � - ---� <br /> Date Recd. I !3(21 29 Date Due 12 I �� NOTES: <br /> RFW Contact 'Ke-LS H I Man, ANALYSES <br /> MCC (30;�!fWiF-1. REQUESTED gQfr 2 Ambi t or Chill <br /> Client Contact/Phone r_. NOTES: <br /> A Use Only Dated � <br /> Lab ID Client ID/Description Matrix Collected 3 Received Broken/ <br /> OPIT 1i L X Leaking (Improperly <br /> Z - 5o C)T-4 L o $9 �� _ Sealed) <br /> ' Y N <br /> NOTES: <br /> liTiRITrly Preserved <br /> 1 N <br /> —td8 S: <br /> 5 Received Within <br /> ing Times <br /> Y N <br /> S: <br /> COC Tape Was: <br /> 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> } Package Y N <br /> 3 Present on Sa <br /> Y( N <br /> Matrix: W-Wnter DS-Drum Solids X-Other Special Instructions: F-A �E�t)LT S C NAIIj TD SAAJ :j0WUN l4 L#ql.lnbroken on Samp <br /> S-Soil O-Oil DL-Drum Liquids NOTES: Y N <br /> SE-Sediment A-Air F-Fish (r/�U�l{L CA T�Ot_q QI}OIu1C 1 4t!jgj- 3�g <br /> SO-Solid WI-Wipe L- EPrrCLP Leachate <br /> COC Record Was: <br /> Item/Reason Relinqui3Ved by Received by Date Time Item/Reason Relinquished by Received by Date Time 1 Present eipt <br /> : -70 of Sa les Y N <br /> Discrepancies Between <br /> Sample Labels and C <br /> Record? Y TN <br /> NOTES: <br /> 7115 <br /> AFW 21 001/A-12/88 <br /> 89 � 1 � 11T <br />