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WESTON Analytics Use Only <br /> Custody Transfer Record/Lab Work Request .9K.., <br /> Page of <br /> Client Refrigerator# <br /> Liquid <br /> Est.Final Proj.Sampling Date #/Type Container Solid <br /> Work Order# Volume Liquid <br /> Project ContacVPhone# Solid <br /> AD Project Manager Preservatives <br /> OC Del TAT ANALYSES ORGANIC INORG <br /> ��_ <br /> Date Recd Date Due REQUESTED O -2m d 6 i U <br /> Account• # <br /> MATRIX <br /> CODES: Matrix <br /> ate <br /> S- Soil �p Client ID/Description QC Matrix Collected <br /> SE-Sediment Chosen <br /> SO-Solid i✓? <br /> SL- Sludge <br /> W- Water <br /> O- Oil <br /> A- Air <br /> DS-Drum <br /> Solids <br /> DL- Drum <br /> Liquids <br /> L- EPITCLP <br /> Leachate <br /> WI- Wipe <br /> X- Other <br /> F- Fish <br /> Special Instructions: DATEIREVISIONS: <br /> WESTON Analytics Use Only <br /> 1. <br /> Samples were: COC Tape was: - <br /> 2. 1)Shipped_or 1)Present on Outer <br /> 3 Hand Delivered Package Y or N <br /> Airbill# <br /> 4. 2)Unbroken on Outer <br /> 2)Ambient or Chilled Package Y or N <br /> 5. 3)Received in_Good 3)Present on Sample <br /> 6. Condition Y or N Y or N <br /> Relinquished Received Relinquished Received Discrepancies Between 4)Properly Preserved 4)Unbroken on <br /> by by Date Time by by Date Time Samples Labels and _ Y or N Sample Y or N <br /> COC Record?Y or N 5)Received Within COC Record Present <br /> NOTES: Hoiding Times Upon Sample Rec't <br /> Y or N Y or N <br /> 8FW 21-21-001/A-8190 L372 L373 L375 L377 L378 Ref# Cooler# 381-596a <br />