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i • • <br /> Entech Analytical ]Labs, Inc. - <br /> 525 Del Rey Avenue, Suite E e Sunnyvale, CA 94086 o Telephone (408) 735-1550(800)287-1799 it Fax (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> " " �-I IST <br /> Client _C t.C�ivwc— Project ID YUc�i cA LAB USE ONLY <br /> Address 6 `� r 6 "t Purchase Order# <br /> Sampler/Company Telephone Samples amved dulled and intact <br /> Contact CLW r'v6y--' Yes No <br /> ��3 —��(o Special Instruction Comments Notes <br /> Telephone # L526) <br /> Date Recerved -L-ci ,9 Y l, n�VV` a j \`rn�m3 , <br /> Turn Aroundt6ul` 9'0(:) bit I's <br /> Sample Information Re nested Analysis <br /> k <br /> Grail Date Time Sample <br /> Lab # Sample ID Composite Matrix Collected Collected Pres Container �— <br /> C�� 9 z�5� 1 y� 0 !cdtr�. X 'x <br /> 3 S lei V 1Y <br /> _ 1 <br /> 1411tiq 13y r ItccnvLd"1 Date � I iale 6 <br /> r <br /> Relmq BY Received By Date Time <br /> }V1 <br /> Rc mq/By Received By Date Time <br />