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Entech Analytical Labs, Inc. <br /> 525 Del Rey Avenue, Suite E• Sunnyvale, CA 94086 a Telephone (408)735-1550(800)287-1799• Fax (408)735-1554 <br /> Cham of Custody/Analysis Work Order <br /> CltcntLC1�7ffTZ � v 111Jc, Project ID C �l i��j LAB USE ONLY <br /> Address t�,�p -�l�.p (OZ Purchase Order# <br /> Sampler Company Telephone # Samples arrived chilled and intact <br /> � 1 `� ,�/�� Yes No <br /> b/Ifle- <br /> Telephone <br /> Contact ,�1�1y �Grl/�(� � � g 4# Special Instructions/Comments Notes <br /> (<��l o� �`3ti� 15,16n -- <br /> Date Received <br /> Turn Around <br /> Sample Information )Requested Anal sis <br /> 0 <br /> Grab/ Date Time Sample <br /> Lab # Sample IDCom iosite Matrix Collected Collected Pres Container <br /> .D/63`� C' rL� 1 ,b "V1, Z x v a <br /> /o/s 1 d <br /> 12L1111(l 11y Recei ed E3y Dale Time <br /> /0//' <br /> clw Bn �d y Date /7 /7 T2me <br /> Itl <br /> 7' / <br /> tL lui l Received B) Date Tune <br />