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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale, CA 94086 o Telephone (448)735-1550(800)287-1799•Fax (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client C AAccrw Project ID —l0� LAB USE ONLY <br /> Gc ftrv� �v,C, <br /> Address -,eL IC)4 Purchase Order# <br /> tS (p LerrlCompan f Telephone Samples arrived chilled and intact <br /> Lr' Yes No <br /> Contact PSrka.P& Cxt';,"'rt <br /> Telephone # X101 qSpeclalInstruction Comments Notes <br /> cl3 - 5l�o� <br /> Date Received <br /> Turn Around <br /> Sample Information Re nested Analysis <br /> Grab/ Date Time Sample <br /> m <br /> Collected Container# Sample ID Composite Matrix Collected ? �1 U <br /> x AbA <br /> 1(00 <br /> ( s3�' IMVj-� <br /> 1630 <br /> IM tnl-�- 1(v'S0 <br /> GS�4o r't vJ—5 1 -x-00 <br /> I MVM —x <br /> Rcliaq BCi" ----�' ccctvcd By Date 1 we r/C/ <br /> Rclmq By Rc ct Bg 3/�/�� DateZ-.4;: <br /> �!� Ttmc <br /> Rclmq/B% Received B% �v e[j Date �f 1 tzuc <br />