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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 Project ID DJ-- LAB USE ONLY <br /> Address Purchase Order# <br /> Samp erlCom any Telephone Samples arrived chilled and intact <br /> �[�-r' � <br /> Contact ��� Cx..J t <br /> Yes No <br /> Telephone # Special Instruction Comments Notes <br /> 3 { ­60r'r <br /> Date Received 5 3 w r/0 <br /> Turn Around <br /> Sample Information Requested Analysis <br /> Grab/ Date Time Sample <br /> Lab N Sample ID Composite Matrix Collected Collected Pres Container W <br /> �S b1A)_1 -All (5 SIS 1�3v F�GQ �KU64 <br /> Q ! PJ 5 3X_v0,4 <br /> L&Q rano 3x�o x <br /> f <br /> Relmq y ��-- Received By Date Time <br /> q �,..,/ Received By �� Date �� G Ttm� <br /> Relwq/By Rccmvcd By Date Time <br />