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Entech Analytical Labs, Inc. <br /> 3334 Victor Court (408) 588-0200 Chain Of Custody / Analysis Request <br /> Santa Clara. CA 95054 (408) 588-0201 - Fax <br /> Atter lo: Ptwne No.: Purchase Order No Re d <br /> a /`,r J ( 9 ).: Send Invoice to (il nlnerent) p�no <br /> z3• IL <br /> Co JMaHrgAddr <br /> N : <br /> �- FaxN got Project Number: Company <br /> S- I d5 ($o <br /> : email: jecl Name:State: Zip: P I ct Lac tion-cA <br /> C�IK city; Stale Zip <br /> Sampler: Field Org.Code: Turn A and Time <br /> \� ❑ Same Day ❑ 1 Da O <br /> m <br /> O •Global to ❑ 2 Day ❑ 3 Day ^���mn m0 <br /> ❑ 4 Day 1 5 Day �c;` <br /> CJ Standard (10 Day) FS bo om Qpm a a' IV'b- <br /> �mry 0rye m� ��', <br /> Order ID: <br /> Sampling <br /> O C > <br /> ` tl d « pA �om Dy VOA o` c 'J v v O <br /> Client ID: Field PT Lab. No. a Date Time v v <br /> go F e <br /> % l X k <br /> 2 N <br /> Y/ 2 � t X < <br /> • <br /> Ti e: pecial Instructions or Comments ❑ NPDES Detection Limits <br /> !( <br /> ReHna iehedby: Rete' b D te: Time: 'Fji�� /oX, 61 �,�D� ❑ EDD Report Required <br /> V/ ❑ EDF Report Required <br /> Reimeui,hed by: Rewi"ed by: Date: Time: Metals: Vial C-C-PL/ $o(�-�n ❑ PDF File Required <br /> AI, As, Sb, Ba, Be, B, Cd, Ca, Cr, Cb, Cu, Fe, Pb, Mg, Mn, Hg, Mo, Ni, K, Si, Ag, Na, Se, Sr, <br /> Relinquished bv: Received bv: pate: Time; <br /> TI, Sn, Ti, V, Zn, W : RCRA-8 ❑ CAM-17❑ Plating ❑ PPM-13 ❑ LUFT-5 ❑ <br />