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'r r 4r r� r �r r� r� r ; rr rr rr r� rr � r• <br /> Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E • Sunnyvale, CA 94086 a telephone: (408) 735-1550(800)287-1799 a Fax: (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client: As,?0(AC�,O Project ID: 6agob' OM3 LAB USE ONLY <br /> Address: - Purchase Order #: <br /> Sampler Company: Telephone�l ti � r1�{CJ� Samples arrived chilled and intact: <br /> Contact: _ 1rV� LWci�0.0 h2fitlin `'�Z��T '�`� Yes No <br /> Telephone #: Special Instruction Comments <br /> G2�— �"(G4 _�3� Notes: <br /> Date Received: _ <br /> Turn Around: <br /> Sample Information Re uested Analysis <br /> ILorw -Elw pipWF- •-SBA <br /> Grab/ Date Time Sample x rw <br /> Lab # Sam le [D Composite Matrix Collected Collected Pres. Container <br /> i2 ? <br /> xe BN" AA. Received Bv: Date ; Time <br /> Reluii.Bv: Received By: Date Time <br /> ,s�►7r �z t i t vL ;� 1(giq <br /> Relinq/13v: Received By: J a Date Time <br />