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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale,CA 94086 o Telephone (408)735-1554(800)287-1799•Fax (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Chent �f i�//+1 .S Project ID r"� r `Y o�� OY'/ <br /> j �, 4g,� ' <br /> _ r J f ', ; / LAB USE ONLY <br /> Address ( ( GLC /4 ,lt�sv -(-_F-FoD Purchase order# <br /> Sample any Telephone <br /> �A ( Samples arrived chilled and intact <br /> Contact E- y Yes No <br /> Telephone# c� ( 7 . SpeciaA Instruction Comments Notes <br /> Date Received ZGD p Z- CyKt740, -t-LI ! Z <br /> Turn Around !S r �, 7 <br /> Sample Information Requested Analysis <br /> 'r <br /> Grab/ Date Time Sample <br /> Lab# Sample ID Composite Matrix Co lec d Collected Pres Container <br /> 1 5 4� f <br /> ti w- -7 <br /> r+ 4-1 14 <br /> Relmq By Received By Date Time <br /> - f D'D <br /> Relmq BS ,r'' /, Received By Date Time <br /> Relmq!% Received By Date Time <br />