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WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> -LC, O Re1ri eratoril Us SOTON Analytics <br /> J #/T a Container nly <br /> Samples <br /> Client <br /> 3 Z —0/ —o0 00 Volume g 1 sniped Wer <br /> Work Order preservative Delivered <br /> Date Recd. Z �..,Dae Due _ � NOTES: <br /> RFW Contact ANALYSES d20 �1 <br /> REOUESTED 411111110— Mdd �7'�'" 112 2 Ambient r C <br /> Client CoMacVPhone NOTES: <br /> A Use Only Client ID/Description Matrix Date <br /> Lab ID Collected 3 Received Broken/ <br /> Z Leaking (Improperly <br /> J. ✓ Sealed) <br /> Y <br /> "r NOTES: <br /> U � /S .,f <br /> 4,0PsQVr1y Preserved - <br /> �/ ✓ NOTES: <br /> 5 Received Within <br /> .-�Z 1 ✓ iing Times <br /> I( N <br /> ES: <br /> ell <br /> U 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 Sample <br /> Y <br /> Matrix: W-Water DS-Drum Solids X- Other Special Instructions: 4 Unbroken on Samp e <br /> S-Soil 0-011 DL-Drum Liquids NOTES: Y N <br /> SE-Sedlment A-Air F-Fish <br /> SO-Solid W1-Wlpa L- EPITCLP Leachato <br /> Item/Reason ReHn of hed by e ivedftV '9tQ1 Time Item/Reason Relinquished b . Received by Date Time COC Record Was: <br /> 1 Present Up=Receipt <br /> of Samp s Y N <br /> Discrepancies Between <br /> Sample Labels and CO <br /> Record? Y N <br /> NOTES: <br /> RFW 21-21-001/A-12/887-115 <br /> 0 5 0 <br />