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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E s Sunnyvale,CA 94086 o Telephone (408)735-1550(800)287-1799•Fax (408) 735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Chent e� -t,, ./ c Project ID ii LAB USE ONLY <br /> Address C; }W `�r ' ���-� Purchase Order#, <br /> G , Samp er Company Telephone Samples arrived chilled and intact <br /> Contact �'��[� �✓,r �''�� s Yes No <br /> Special Inst tion Comments Notes <br /> Telephone # ,tri L�. ���j 7-1�. e <br /> Date Received <br /> Turn Around <br /> Sample Information Re nested Analysis <br /> m <br /> Grab/ Date Time <br /> Sample �� <br /> Lab 9 Sample 1D Composite Matrix Collected Collected fares Container <br /> I� ag�rk 00. 12-3 8 [ S a l r` <br /> Y-- <br /> Rclmq By Received By �� �'"''" llate I tote , 5 <br /> � - Z7 <br /> Relmq By Received By Date Time <br /> Relm9 1 B Received By Date Time <br /> Y <br />