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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale, CA 94086 e Telephone (408)735-1550(800)287-1799 • Fax (408) 735-1554 <br /> Chain of Custody/Analysis Work Order <br /> ClientS&Ay�G, Project ID �-- ' '�, LAB USE ONLY <br /> Address ! Cd- Purchase Order # <br /> �� 1/} (�,�f� S, pier/Company��� Telephone <br /> �—C _l _l ` �o-� Samples amved chilled and Intact <br /> Contact ' ? 00 Yes No <br /> Telephone # z3 ( 0) Special lnstructlolls/Comment�u Notes <br /> ��� \ t4�,�. <br /> Date Received 1 'q <br /> Turn Around '� ���—� � <br /> Sample Information Re uested Anal sis <br /> Q <br /> Grab/ Dale <br /> —ii V' �� <br /> S,tmplc �+ x <br /> Lala# Sam ple lD Composite Mata ix Collected Collected Pies Container CltX' <br /> LLQ <br /> o�- <br /> 41111i1 Ilv <br /> RLluul I !{LL iVed By Date 1 Line / <br /> RLluul/lA <br /> I - <br /> RccctvLd B%ti �Y V <br /> Date 1 uuL <br />