Laserfiche WebLink
,WESTON Analytics Use.Only <br /> 2 06- ®6 ® dy Transfer ecr /Lab Work a nest PSP a = .': <br /> i :fl <br /> •4t 13c} Refrigerator# <br /> &ype Container *S01406.11", <br /> is x <br /> A H2 A.YKY Y kK i • t . <br /> �. <br /> -;11 `; ; 'IS5• ,Volume <br /> Prea ,,. 'e J�fl' '1 .•� Y t - . Y.�`.{ �.` <br /> ORGANIC.• INORG ,. <br /> ANALYSES <br /> Ret:'d Date Due REQUESTED p Z my 11 i (Z? <br /> It WESTON Analytice Use Only <br /> f) a l p Lab Date Time O <br /> Client ID/Description Chosen Matrix Collected Collected \� <br /> ac <br /> ID (d) V til <br /> �1 MS MSD t <br /> j; <br /> �. �`� �II'161ik.�, '°aY.l✓53 r 't ). :.1�`�I_ s<.. - , ,"�..'�v�S• ''9 ..d .. ti;ji Y e. `�, S'rl s.+:' t.t,�1j?.. ..i 5 .. y.+}i ' <br /> aN�/�tt'11.7". :w> 1 r ! > • 1 i�' > 1' �"•_ .e e r r <br /> diol �lll i, t J l.�r •t, lyil ^ sri :� s �;>a`R .b. f <br /> iSda� ` , <br /> ! fi},:� A: •f t.I p•a 1 4 ;tf�' ! C; ° k"iY> �`., adl!• 14 +�::t -' ��i i a'..: +r^�9L. 4� `'" 4j�s . <br /> rd 1 '�'t�',e / .1 h•.. L.. ,t1 yY tn�� _t •"t t 'pit .Ii <br /> i PiI,S* u 'i�{{i'fi4"rt� ,,i" Yy*•t" t t:. cr ��.ggsr � �t��'a-•i r :.r• i•3 � (��i�� 'i°��h �• 1 ��•.��`' i..i�'k`;3`�0 �i��'w �4��,` 30. <br /> � � ,�.�.ts +t''I;�.r s I.�1Ct.;�tUit �...i• :iJ.iC" !`t. t !` <br /> � ��Vi f�'�;�y�� •' r • Ar;ti q � r <br /> an 5 t :e 1 v .ir• 7�,,�r,�:-� 4 d ,1� .�1, r,a'�, ' 3� h ir} A t � �i <br /> ' J iD s'�I 11t 'tr}t ar afiA°1S'� rK +. kw!t r ') �;1 t •� t �i L. t.i qn-ay�. t��. `'r;"f ff t �"` L u •�.tf � <br /> ITT <br /> 1pBjT'1 v�i`fi{VP8'B. s.�tii1«1,+'r •.'t ��' y,.M.r:�i ty`- II - t:,: <br /> 11+ NS 7 tl rtoy•k <br /> t. .`li r �. ' F...��'t� o't�"+ ft��!�t .•+ , <br /> ELD PERSONNEL.COMPLETE ONLY SHADED AREAS ,DATE/REVISIONS: WESTON Analytics Use Only <br /> 711tl t ' plt:lal Instructions, Samples were: COC Tape was. 1 <br /> a ivL �J #' tiU-t1 •1 �� 7 <br /> w "+ <br /> lsl�� f y 7t �. r.��;et 2. <br /> Q �` t)Shipped or i)Present on Outer' i ! <br /> 11 Oy"j4q ��dn <br /> Hand Delivered_ Package Y or N ti <br /> 1 <br /> i !i Airbill# 2)Unbroken Ort Outer' <br /> t,: 4 1 Q :C 2)Ambient or Chilled P Y or N,,t? ' <br /> 0 r' / — - r{ <br /> J ��E�'te c/r f t' f n+ r.�^- % 3` u ry 5 3)Received in 3)Present on S ;i <br /> C.: r) G s'i" 5 t- m+-,K '� '�® Condition Y or N Y or N {(k <br /> M <br /> G� /� y 6 CA 19`S 71 �' 4)Labels Indicate 4)Unbroken� j it <br /> t <br /> Properly Preserved Sample Y or N i - <br /> } i",fi , !`Relinquished , Received Date Time Relinquished <br /> Received ed Date Time Discrepar�es Between Y or N COC Record Preserit�', <br /> y ir: r"• ;by ..`' ` by : y Sam�es Labels and 5)Received Within Upon Sample Rect <br /> COC Record? Y or N Holding Times Y or N <br /> .i ri t.q- 1 C! +i' S-% NOTES: Y or N a <br /> r` -Rkyy <br /> 38t-596a <br /> 21-21-Ml/A-7/91 L372 L373 L375 L377 L378 Ref# Cooler# <br /> I / $'j ion��� F 1 114M , t I;Q• <br />