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r r c a r r r , r , r r r r- , r , r - r , r r r c c <br /> 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 /> Chain of Custody/Analysis Work Order <br /> Client: .- * 4 Mi6kt Project ID: LAB USE ONLY <br /> Address: 1 ,u �/ ff% ,��1 Purchase Order#: <br /> CX Sampler/Company: Telephone #: Samples arrived chilled and intact: <br /> Contact: .1. � �L ',: Yes No <br /> Telephone#: �- _ -- Special Instructions/Comments Notes: <br /> Date Received: <br /> Turn Around: <br /> Sample Information Re uested Anal sis <br /> Grab/ Date Time Sample <br /> Lab# Sample ID Composite Matrix Collected Collected Pres. Container <br /> 11la 2 cm' -1-A) / s 0 <br /> r <br /> Relin Received Bv- <br /> ` Date Time ��> <br /> Relinq.By: Received By: Date Time <br /> Reliugl By: Received B\: Date Time <br />