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1�1I 111 . - -1, 1 - - � Jr <br /> lik <br /> WESTON Analytic e 0 Custody Transfer Record/Lab Work Request <br /> Use <br /> �] * " <br /> s uO `P'�1171-110 <br /> 92 06 S2::: Page <br /> Client Refrigerator# <br /> Est. Final Proj.Sampling Date #/Type Container Liquid <br /> SolidLiquid <br /> u' <br /> Solid <br /> Work Order# L' u, <br /> Volume Li uid <br /> Project Contact/Phone# Solid <br /> Preservati <br /> AD Project Manager ves I <br /> I INFIG <br /> QC — -!-)—Del��.TAT ORGANIC ANALYSES <br /> < < <br /> Date Rec'd Date Due REQUESTED 0 z a)d = <br /> z <br /> > <br /> Account# <br /> WESTON Analytics Use Onl*- <br /> -,-MATRIX-- Matr4 -1K <br /> CODES: Lab 0C Date Time <br /> S- Soil Client ID/Description Chosen Matrix Collected Collected <br /> SE-Sediment ID <br /> SO-Solid MS MSD A <br /> SL- Sludge <br /> W- Water <br /> 0- oil <br /> 1 rb"2 <br /> A- Air <br /> DS Drum <br /> Solids <br /> DL- Drum <br /> Liquids <br /> L- EP/TCLP <br /> Leachate <br /> WI- Wipe <br /> X- Other C' <br /> F- Fish VJ <br /> FIELD PERSONNEL:COMPLETE ONLY SHADED AREAS DATE/REVISIONS: WESTON Analytics Use Only <br /> Special Instructions: 1. <br /> C. 2. Samples were: COC Tape was: <br /> 1 1)Shipped_or 1)Present on Outer <br /> 3. Hand Delivered Package Y or N <br /> Airbill# 2)Unbroken on <br /> Pe.r <br /> C)PA i <br /> 4. 2)Ambiejit or Chilled Package or N <br /> 41 1 C <br /> nt or <br /> 5. 3)Received in Good =Sent on Sample <br /> Condition Y or N Y or N <br /> 6. 4)Labels Indi'rat <br /> -C D Properly-,PrErserved 4)Unbroken on <br /> F( Sample Y or N <br /> Re Inr I h 'd Received Date Time Relinquished Received Date Time Discrepancies Between Y or N COC Record Present <br /> Y's by by <br /> u <br /> t by Samples Labels and 5)Received Within Upon Sample Rec't <br /> COC Record?.Y -or—N Holding Times Y or N <br /> NOTES: Y or N <br /> RFW 21-21-00 1/A-7/91 L372 L373 L375 L377 L378 Ref# Cooler# 381-596a <br />