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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale, CA 94086 o Telephone (408)735-1550(800)287-1799 •Fax (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client _ vJ �C{b c1 Project ID -tom LAD USE ONLY <br /> Address rj-�o 3f2L , 0J/ Purchase Order# <br /> Jkl4S�me er many � lep gone Samples arrived chilled and intact <br /> Yes No <br /> Contact t , <br /> Special Instruction Comments�r Notes <br /> Telephone <br /> Date Recewed <br /> Tum Around <br /> Sample Information Re uested Analysis <br /> Grab/ Date Time Sample lQ �p <br /> Lab# Sample ID Composite Matrix Calle ed Collected ares Container9z r(R(ZZ6 [' <br /> /Z1a- �9 <br /> Otv <br /> 4 <br /> 1 <br /> Relmq By Received By Date Tune <br /> Relmq By Received By Date Tune <br /> Relmq/By Rc=vcd BY VDate Time <br />