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Entech Analytical Dabs, Inc. <br /> 525 Del Rey Avenue, Suite E a Suiuiyvale, CA 94086 a Telephone: (408) 735-1550 (800) 287-1799 a Fax: (408) 735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client Project [D: LAB USE ONLY <br /> Address: jt ( Purchase Order #: F <br /> Sampler/Company: Telephone #: <br /> r \ NT <br /> Samples arrived chilled and intact: <br /> Contact: t� Yes No <br /> Special Instructions/Comments <br /> . Telephone #: ��t 0� �� "� �- � �� Notes: <br /> Date Received: <br /> Turn Around: <br /> Sample Information Requested Analysis <br /> Gram/ Date Time Sample TP <br /> d O� <br /> Lab Sample ID CDnl asite Matrix Collected Collected Pres. Container �om� <br /> Rclinql By: R By: Date <br /> r <br /> - T <br />