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Lntech Analytical Labs, Inc. - <br /> 525 Del Rey Avenue, Suite E • Sunnyvale, CA 94086•Telephone (408) 735-1550(800)287-1799• Fax (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client ��Q�—f� �. �,�, Project iD �" -� LAB USE ONLY <br /> Address C� i'� �j � � Purchase Order # <br /> � <br /> Sampler/Connipally Telephone # <br /> e�.. Samples amved chilled and intact <br /> Contact �t•cr. �'-��i vti �G do .`1j 3 -- 15160 Yes No <br /> Telephone # Special Instructions/Comments t <br /> �S lob ��� � �1Cn� Notes <br /> Date Received <br /> Turn Around ` 5 iv c 3 <br /> ' Sample Information Re uested Anal sis <br /> Gi all Dale Time S.tsuple 1� <br /> Lab#_ Sain ple 1D Composite Matrix Collected Collected Pi es Contatnes 1. tcc <br /> Mw <br /> w - 5 <br /> � 5a <br /> w � <br /> 4 <br /> i' <br /> i <br /> elmq By --- RmmLd Bi Date !nne <br /> -- J <br /> Retmq By Received By Date Tune <br /> [!!�q/By Re=vcd B f� Date Time <br />