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Entech Analytical Labs Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale, CA 94086 a Telephone (408)735-1550(800)287-1799•Fax (408)735-1554 <br /> C ��w Chain of Custody/.Analysis 'work Order <br /> Client G�oU r , J—� Project M C—r LAB USE ONLY <br /> Address, 5 p �,j e WN Purchase Order #. <br /> Sampler/Company Telephone 4 Samples arrived chilled and intact <br /> - cGz 5tc) $135L(, o <br /> Contact 13u.. �L vi16, �)'b �� r Yes No <br /> Special Instructions/Comments Notes <br /> Telephone # 5 Lc)$c� <br /> Date Received �'� �Z�O <br /> Turn Around �o - W1 �r L <br /> V) <br /> Sample information -�.Re uested Anal sis <br /> W N lei; <br /> �zu O 4 x <br /> Grab/ Date Time Sample J <br /> Lab #_ Sample ID Composite Matrix Collected, Collected Pres Container a <br /> X. }� <br /> Rdinq By Recd c i B) Date / Time <br /> I r�-1 •� I Q q t <br /> Rclmq By Mw <br /> ed Date Tune <br /> Rc(mq/By Rece Date Tine <br />