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C � � <br /> Analytics Use Only Custody Transfer Record/Lab Work Request �..®. <br /> WESTON Yt <br /> WESTON Analytics <br /> Refri erator# Use Only <br /> #/Type Container '� - �'E�'� Samples Were: <br /> Client � � S ' Volume --- 1 Shipped or Hand- <br /> Delivered <br /> Work Order Preservative NOTES: <br /> Date Rec'd. Date Due <br /> RFW Contact ��` ANALYSES �� 2 Ambient or Chilled <br /> REQUESTED F NOTES: <br /> Client Contact/Phone <br /> A Use OnlyMatrix Date 3 Received Broken/ <br /> Lab ID Client ID/Description Collected <br /> Leaking (Improperly <br /> Sealed) <br /> NOTES: <br /> -� 4 Properly Preserved <br /> _-- Y N <br /> NOTES: <br /> 5 Received Within <br /> 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 /> Y N <br /> 4 Unbroken on Sample <br /> Matrix: W-Water DS-Drum Solids X-Other Special Instructions: NOTES: Y N <br /> S-Soll 0-011 DL-Drum Liquids <br /> SE-Sediment A-Air F-Fish <br /> SO-Solid WI-wipe L- EP/rCLP Leachate <br /> COC Record Was: <br /> Item/Reason Relinquished b eceived b Date Time ItemlReasori Relinquished b Received b Date Time 1 Present Upon Receipt <br /> of Samples Y N <br /> Discrepancies Between <br /> Sample Labels and COC <br /> Record? Y N <br /> NOTES: <br /> 7-115 <br /> l <br />'i RFW 21-21-001/A-12/88 <br />