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i <br /> j <br /> 'm <br /> R <br /> ul <br /> WESTONAnetgticsUse Only Custody Transfer Record/Lab Work Request <br /> Q 6_S:0! z'3 Retrigeratords WESTON Analytics <br /> r� Jil/Typainer Use Ont <br /> Client R/Gv r aoPt c. e Cont <br /> Yw4s st4Rr.e <br /> SarplesWere: <br /> -or . ContainerwVolume 1 Shipped or Ha <br /> ndWork Order �o�_a? <br /> Preservative la erd r•rs Delivered <br /> Date Recd.-- --.-Date Due SQA o e Y eNaee+s NOTES: Mp <br /> RFW Contact c a a.c i r r EPA EP. 1 <br /> ANALYSES <br /> :F k <br /> Client ContactlPhtine 2 �� 76-U3S REOUESTED� JPa�S �vrt 2Ambient or hiW C <br /> NOTES: <br /> ALeI IDmy Client ID/Description Matrix Date <br /> Collected 3 Received S!okeni <br /> QQ I Mwt- 35h Leaking(Improperly <br /> t70Z s ma Sealed) <br /> NOTES: <br /> Ittot3 t p *LA I >'yn <br /> 4 Properly Preserved <br /> Q N I <br /> NOTES: hM kms; <br /> k <br /> 5 Received Within <br /> ding Times s" <br /> U( N E <br /> NOTES: <br /> .F <br /> COC Tape Was: <br /> I Present on Outer 1 <br /> Package Y N <br /> 2 Unbroken on Outer k I <br /> Package Y N <br /> r 3 Present on Sample p <br /> Matrix: W-Water DS-Drum SolidsgoECPra s_ ;J —a.0P.. Y CR <br /> . ta <br /> S-Sall O-QII DL-Drum Liquids Special Inslructions"drJ _ e °� r d•!.�e 4 Unbroken on Sample i <br /> SE-Sediment A-Air F-Fish t $ ' "'� t NOTES: Y N <br /> so-Solid i x•Other h " S,4—ecd-s ✓Sc� As anrktvp- <br /> 1>e SAr r[�s rs <br /> IternfReason0elingulshed b R ed b Data' nih� klarr✓Reas�On• •q,iin"u�shed b ''rRecelved b Date Time COC Record Was: ; p <br /> Au rKwr rYrcr 144a "F! I Present Upon Receipt t' E <br /> o!Samplas(�Y N h <br /> i _ I Disarpancies Between l <br /> < Sample Labels and CO <br /> Record? Y N <br /> I r ' NOTES: <br /> - I ' _ � '£t •SBE <br /> dxs <br /> RFw 21-21•noirA-5163 . '_ _. .• � 7-tts P��u' � <br /> a <br /> 880E 022 ' <br /> cx,I <br /> �5 <br /> Ear � g <br /> 'S R <br /> I <br /> ¢tp <br />