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WESTON Analylics Use only Custody Transfer Record/Lab Work Request <br /> Refrigerator* W e Only Analytics <br /> Use Onl <br /> Rf}(r U [=oar 5. *tType Container Samples Were: <br /> -- - ContalnerslVolutrle = pis 1 Shipped or Hand- <br /> Work Order a Z - a 3_ d /-o o Delivered <br /> Preservative hlpg{+ h, NOTES- 14-we Dot <br /> Date Red: ——Date Due T�RArtlA7aD <br /> RFW Contact I' t .. � fXC$ EPA PA <br /> 2a 9 -t-n-/ 3.5 - REQUESTED NOrrS�S n!or ChiJed <br /> Client Contact/Phone c.t,1 t.9 <br /> H A Use Only Client ID/Description Matrix <br /> Date <br /> Lob 10 Collected ,rre"� 3 Received Broken) <br /> Leaking(Improperly <br /> a 5 6- 6-0 t Sealed)Ira r� <br /> o,i � ?- ROA Y J <br /> a•e► NOTES: <br /> -oo W - - C___r!p.ee C. -J <br /> .{ <br /> AAl�1 - 13SA 4P operly Preserved <br /> CYJ N <br /> NOTES:aJa� <br /> 5 Received Within <br /> !� Holding Times <br /> �7 (D N <br /> NOTES. <br /> Y <br /> 3 <br /> _ CQC Tape Was: <br /> I Present on Ouler <br /> • Package Y C <br /> 1 2 Unbroken on Outer <br /> 1 I Package Y N <br /> i <br /> 3 PresentonSar,,ple <br /> Y CN�'; <br /> Matrix:. I W-water• DS-Dru solids Speclallnstructlons: 0-461A/f 80;r-1 Pr'r6G' 4 UnbrakenonSample <br /> i <br /> S.Soil O-fill DL-0rui LlquldsS . Lam{ 'V' 1�a R• �S i ® s1 �Yo(` t 4 NOTES: Y <br /> SE-S*dlment A-Alt F•Fish" ' � ANA t <br /> 50-Solid %-Other �';� �. n rel J s <br /> COC Record Was: <br /> itemlReason R211n ulshed b r ata Yi Jt rt11Rpa'!� - A'elln ulsh t ecelved b onto Time t present tyrpn eceip <br /> 01$amPles Y) Jl <br /> glscrepandes Between <br /> .. At, Sample Labels and CO, <br /> Reccrd? Y �FJ <br /> i ,. _ NOTES: <br /> r <br /> y RFW 21-21.401/A-5188 '1T �•lll• . �, .v . 'r - i�.� .t ... _ ..3 .•115 <br /> 8606 039 <br />