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Im! <br /> }� ,{ loustod 1 Tran§fpr Rept rdA ab Work Request , <br /> WESTON Analytics Use Only ,r� ,.,,,� <br /> .� <br /> !" WESTON Anal <br /> yticg <br /> ' !-7 q L-f IA Refri erator# �f <br /> ' Use Only <br /> e e Container a,AJA, 1,", , ' ' ''� Samples Were w r <br /> (A `` ' �-�L 1 Ship a d- <br /> $t Cl+enl �!� `— C{ Volume' f ft, ! �'r ,, 1 +' P , <br /> F r Work Ordet <br /> er , <br /> I r pate Recd. 'y ' Date Due.`^ `r <br /> - Preservative r,< r r , NOTES <br /> RFW Contact ` r� ANALYSES 2 Ambient hdled <br /> I o/Chant Contact/Phone REQUESTED , r i � tiu NOTES <br /> A Use Only Client ID/Description tion Matrix <br /> Date K '�& � &°G <br /> " Lab ID P Collected A 6 DF F6-HI .� 3 Received Broken/ <br /> Leaking (Improperly <br /> Sealed) <br /> NOTES, <br /> > ' _}"- �' <br /> 4 PrDperly Preserved <br /> N i <br /> NOTES., <br /> - <br /> 5 Received W¢hxn <br /> t 1 (ding Times <br /> y N <br /> NOTES <br /> I <br /> * ' COG Tape Vj a <br /> 3 1 Present on Outer <br /> Package• Y N <br /> 2 Unbroken on Outer , <br /> Package Y N <br /> 3 Present on Sample '1 <br /> Y N <br /> Matrix W-Water DS-Drum Solids X-Other Special Instructions 4 Unbroken on Sample <br /> S-Son 0.Oil DL-Drum Liquids NOTES Y _' N <br /> SE-Sediment A-Air F-fish <br /> SO-Solid WI-Wipe L- EPITCV Leachate <br /> COC Record Was <br /> Item/Reason Relin ws ed b Received b Date Time Item/Reason Relin uished b Received b Date Time 1 Present Upon Receipt <br /> of Samples/Y) N <br /> Discrepancies Between <br /> Sample Labels and COG <br /> Record? Y <br /> NOTES <br /> F <br /> 7-115 <br /> RFW 21-21-OO11A-12188 <br />