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<br /> WESTON Anal tics Use Only
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<br /> 'n&. st Transfer
<br /> Y Record/Lab Work Request
<br /> Client -
<br /> - � '"' Refrigerator# ', Page ( Of
<br /> Est.Final Pro].Sampling Date Liquid
<br /> #/Type Container "17"
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<br /> Work Order# �;, ^r " Solid
<br /> Project Contact/Phone#. Volume
<br /> AD Project 9 �'t' x t^ Solid = r. c . ase; eo-'• �d i
<br /> Pr ] ct Mana er
<br /> Preservatives •a.s
<br /> OC Dei.= '- `TATS' #9k K
<br /> 177,
<br /> Date Recd ORGANIC
<br /> Date Due ANALYSES s" INORG a t'� 1..
<br /> Account# REQUESTED a0Fia
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<br /> CODES Matrix WESTON Analytics Use Only + �t
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<br /> S-''`Soil ` ID Client ID/Description OC Date Time
<br /> SE Sediment Chosen Matrix Collected Collected1,zl
<br /> SO-SolidSL- SludgeMS MSDy O C`1
<br /> W• Water �' f ;..0- Oil ".
<br /> 9
<br /> A- Air
<br /> DS-Drum
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<br /> Solids
<br /> DL-Drum
<br /> Liquids
<br /> L- EPlf CLP
<br /> Leachate
<br /> WI- Wipe + s"
<br /> F- Others fi h iix r
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<br /> FIELD PERSONNEL:COMPLETE ONLY SHADED AREAS ��� {� csq j - •� Ji+ r yr i
<br /> DATE/REVISIONS: #s� ;s I
<br /> Speciallnstructions: , r- -�?
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<br /> 2 WESTON Analytics Use Only•:.,
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<br /> C:.o t�G.. OG)'/ Gr O y Samples were COC Tape was r
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<br /> . and Ue we Package Y or
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<br /> t;e 71;r r6`fj-! .� �• k�a •... J�:,+--.) a 3)Received i Good 3)Present on Sample" ', v
<br /> rvt►� e_ re r.. C % 6. �„� k .Coonndition �r N Y or N
<br /> Relinquished Received e ` ? j4i Labels Indicate p eR. $
<br /> r 4)Unbroken on n
<br /> by by Date; Ttme ;. Relinquished Receive s Properly Pr ed r x
<br /> by ,,,,_ by Date Time Discr paf ncies Between 1 N Sample Y or N "rt
<br /> 1 Samples Labels and COC Record Present
<br /> 17, 5 Received thin Y
<br /> NOTESRecord?COC I or Holding Ttm Wi Upon Sam ti
<br /> RFW21.21-001/A-7/91s "'� pry tt rrr,:;itt ` j, 1 9 e <sGr �,,t t
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