Laserfiche WebLink
TO Onl <br /> Custody Transfer Re rd Lab Work Request <br /> Page of <br /> Client Refrigerator# <br /> LI tJid <br /> Est Final Proj Sampling Date #/Type Container Solid <br /> Work Order# Volume Liquid <br /> Project Contact/Phone# Solid <br /> AD Project Manager Preservatives s c <br /> ©C Del TAT ORGANIC INORG <br /> ANALYSES <br /> Date Recd Date Due REQUESTED a0 Z c U 0) Z z <br /> Account# > in a-a = v <br /> S <br /> MATRIX <br /> CODES- Lab Matrix Date <br /> S» Soil ID Client lD/Description 0C Matrix Collected <br /> SE-Sediment Chosen <br /> SO-Solid (✓) <br /> SL- Sludge <br /> W- Water <br /> 0- Oil <br /> A. Air <br /> DS-Drum <br /> Solids <br /> DL- Drum <br /> Liquids <br /> L- EPITCLP <br /> Loachato <br /> WI- Wipe <br /> X- Other <br /> F- Fish <br /> Special Instructions DATEIREVISIONS WESTON Analytics Use Only <br /> i <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# 2)Unbroken on Outer <br /> 4 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 /> 4)Properly Preserved 4)Unbroken on <br /> Relinquished Received Date Time Relinquished Received Date Time Discrepancies Between Y or N Sample Y or N <br /> by by by by Samples Labels and <br /> COC Record9 Y or N 5) Received Within COC Record Present <br /> NOTES Holding Times Upon Sample Rec t <br /> Y or N Y or N <br /> i <br /> RFW 21 21 001/A 8190 L372 L373 L375 L377 L378 Ref# Cooler# G77 596a <br />