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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale,CA 94086•Telephone: (408)735-1550(800) 287-1799 e Fax: (408) 735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Q V' �- V00 <br /> Client: 1 C- Aa`a c- , Project ID: 62-503 000 3 LAB USE ONLY <br /> Address: (V(P(o(0 -.:) w e J5 Q� . Purchase Order#: <br /> Sampler/Company: Telephone <br /> Samples arrived chilled and intact: <br /> Contact: J ti v-,+ L-(,V.,( )ALtit-+ T S-Ak.A J AC ASSOC' C�'1�, ,�"�? jo Yes No <br /> Telephone #: l(NL5�) Special Instruction Comments <br /> Notes: <br /> Date Received: _ �D <br /> Turn Around: <br /> Sample Information a uested Anal sis <br /> QL <br /> Grab/ Date Time Sample qx- <br /> Lab# Sam le ID Composite Matrix Collected Collected Pres. Container <br /> 6-1X% 4W - "3 6rcv6 wa-r6(z Co -7 1-q L7 14555 NCtr V o A <br /> "ZI V �4 X x k X <br /> X X X K X <br /> Relinq.$ : � _ Received By: Dat � Time <br /> gg <br /> Received By: � Date,, TigEe.. <br /> Relinq/By: Received By: Date Time <br /> rr r� r� rr rr r r r rr ■r rr rr rr rr r �■■ rr rr r <br />