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0 Of <br /> Entech A,nalyti �z- Liahs9 Inco <br /> 525 Del Rey Avenue, Suite E • Sunnyvale, CA 44086 a Telephone (408) 735-1550(800) 287-1799 o Fax (408) 735-1554 <br /> Chain of Custody/Ariz:ys�s Work ® °dei° <br /> Client Pto�eu IU �-- ' ! C LAB USE ONLY <br /> Address j Zt I J - F �'.�1 f c n Purchase Older # <br /> L^A �X,,l Satupler/Company Ielep one # Samples amved chimed and intact <br /> Contact P-J-4- (+--f CC) '�;::`�lh 1'� 5 fO Yes No <br /> Telephone # Special Instructions/Comments Notes <br /> Date Received <br /> Tulp At ound 12-b 1,1 <br /> Sample Infos niatton Requested Anal sis <br /> Grab/ Date Time Sample ►� t-- <br /> Lab <br /> Lab # Sample ID— Com )ostte Matt tx Collected Collected Pl es Container <br /> A)O AL � <br /> 0(0 L f3 2 10 1 L` ;c <br /> of " C-P) z- ts J035`- <br /> 0cZ C Y3 10(10 <br /> Ori 3O <br /> Relsuq BN RL�-CM 3 3. Date L ane <br /> Rduiq lig Rct 1).s1L lime <br /> Rdinq/lig Kelc��al A� ��� Dat, Tnue <br />