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WFSTM lytics Use Only <br /> q5c�_653(o Custody Transfer Record/Lab Work Request <br /> Page of <br /> Client T Refrigerator# <br /> Est. Final ProJ. Sampling Date # iype Contains. Liquid Work Order# SolidLi Liquid <br /> Protect Contect/Phone# Volume Solid <br /> AD Project Manager Preservatives <br /> QC Del TAT ANALYSES ORGANIC INORG <br /> Date Recd _ _ __Date Due ______ REQUESTED ---- O Z a coa� a z <br /> Account# __ > m a a = v <br /> WESTON Analytics Use Only 1 <br /> Matrix <br /> CODES: <br /> Lab QC DeTime <br /> S- Soil ID Client ID/Description Chosen Matrix Collected ed Collected <br /> SE- Sediment (✓) <br /> SO-SolidMS MSD <br /> SL- Sludge <br /> W- Water <br /> O- Oil <br /> A- Air not <br /> DS-Drum <br /> Solids ROCKSlJl.)GC <br /> DL- Drum <br /> Liquids <br /> L- EP/TCLP <br /> Leachale <br /> WI- Wipe <br /> X- Other <br /> F- Fish <br /> FIELD PERSONNEL:COMPLETE ONLY SHADED AREAS DATE/REVISIONS: WESTON Analytics Use Only <br /> Special Instructions: I <br /> 2 Samples COC Tape was: <br /> -- -- - -- — — 1)Shipped r / 1)Present on Or <br /> 3 Hand Delivered ✓ Package Y <br /> ----- -- -- - Airbill# <br /> -- 2)Unbroken on <br /> 4. 2)Ambient o Chilled Package Y o N <br /> 5 3)Receive Good 3)Present on Sa <br /> - ---- Condi,, r N Y o N <br /> 6. 4)Labe icate 4)Unbroken on <br /> Properly served Sample Y or <br /> Rellnq ed Received Date Time Relinquished Received Date Time Discrepancies Between Y r N <br /> by by Sam les t abets and COC Record Presen <br /> P 5)Rer. ry thin Upon Rec't <br /> COC Records Y Holding Y r N <br /> S NOTES Y N <br /> RF W 21 21 001/A 7/91 L372 L373 L375 1377 1-378 Ret# Cooler# 381 596a <br />