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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E • Sunnyvale, CA 94086 o Telephone (408)735-1550(800)287-1799•Fax (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Chent C —L,.� 1,,,u , Project ID LAB USE ONLY <br /> Address ��c� � Purchase Order # <br /> arm /C�f <br /> Sampler/Company10-'— elephone 11 Samples amved chilled and uitact <br /> Contact �j,{� i�r, �x,'xl V�— 0443 r 5 Yes No <br /> SpeclalInstructions/Coniments <br /> Telephone 11 �S o� �`=�-3 —5'� � Notes <br /> Date Received <br /> Turn Arotmd � /�r- <br /> Sample Information Re uested Anal sis <br /> =Conmostic <br /> Mile Tune Saiuple1— <br /> Lab# Sam ile ID Matiix Collected Collected PI es Container CGI <br /> p7J LJ t C'v��7 $ /c� J t x ~ <br /> Re1mq By �/"� cL } i7at Time <br /> RL1wq p} /J 1 RLCLIVL(I t3Y ' Dal Tn ie <br /> C� l {/L C � Q U <br /> Re1mq/By crved by Dntc Time <br /> I <br />