Laserfiche WebLink
WESTnaiybcs Use Only Custody Transfer ReordlLab Work RequestMEMO <br /> ' <br /> FESTONlytics <br /> Fiefn stator# <br /> #tType Cantamer Wei <br /> Hand-s Were <br /> giant �ri j'T Notoria <br /> Work Order / Preservative NOTES <br /> Date Recd. f ' ' Oats Due F t <br /> RFVIi ANALYSES 2 Ambient or Chilled <br /> REQUESTED ��j NOTES y <br /> Client ContactlPhone <br /> Date 3 Received Broken/ <br /> Lab ID Client IDIDescnption Niatnx Collected Leaking (Improperly <br /> I.. Sealed) <br /> Y N <br /> NOTES <br /> 4 Properly Preserved <br /> Y N <br /> NOTES <br /> 5 Received Within <br /> i Holding Times <br /> Y N <br /> NOTES <br /> i <br /> COC Tape Was <br /> 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> Package Y N <br /> 3 Present on Sample <br /> i Y N <br /> y� t j 4 Unbroken on Sample <br /> Nistrix, w-Water DDrum <br /> S- Solids X-Other Special Instruebons: _Fr Lr NOTES Y N <br /> S-Soil 0-011 OL-Drum Liquids 5 t Lf s3 <br /> SE-seWment A-Air F-Fish t <br /> Solid Wl-Wlpe L- EP►TCLP Leachate COC Record Was <br /> it d Rved ate Time ItemlReasort Relin uished b Received b <br /> Date Time <br /> It IReason Reii uis eb 1 present Upon Receipt <br /> = 2Mof Samples Y N <br /> Discrepancies Between <br /> Sample Labels and COC <br /> 4 - - Record? Y N <br /> NOTES <br /> r � <br /> �T-t 15 <br /> _ 4 <br /> RFW 21-21-001/A-12/88 <br /> k <br /> 3 <br /> f <br />