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-_- Entech 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 Project lD to Ere LAB USE ONLY <br /> Address Purchase Order # <br /> g� Sampler/CompanJy, TeYM e # Samples arrived chilled and intact <br /> [tine , l�-�1, `7� �i c f " 65ry5146 <br /> Contact L� 11�G Yes No <br /> — <br /> ---Telephone # �) ._�� S Special Instructions/Comments rQOS Notes <br /> - Date-Received (,—ZQ --7-7 <br /> _=Turn AroundJI.LAJr� <br /> Sample Information Re uested Analysis <br /> - - Grab/ Date Time Sample <br /> T Lab #_ Sample ID Composite Matrix Collected Collected .Pres Container U <br /> Dim s — f 6 11 4-2 Rd 3 Z <br /> faP6 f law —:S <br /> _ Va( �r,�,J-7 10 --S771 <br /> Rehnq BN Receiv B} DateTime <br /> 61 Id <br /> 9 <br /> Rehnq BN ReceivedlTv Bate Time <br /> Retmq/B�_ - Rem%edBN Date Tmie <br />