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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•Fax (408)735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client Project ID 100`54-:9 LAB USE ONLY <br /> Address _ �a,Q yrJ SL 4_,,,i Purchase Order# <br /> 4t(f_ Sampler ompany Telephone <br /> Samples arnved chilled and intact <br /> Qv� <br /> Contact <br /> G_<0 UP Yes No <br /> Telephone # Special Instrucrio Comments Notes <br /> P S t0 3 — l o ti�- W , -'(d <br /> -Date Received - �""�' C <br /> Tum Around �—� v� rz �`�-t�t� <br /> 4= l <br /> = Sample Information Requested Analymik <br /> w r• <br /> Grab/ Date Time Sample <br /> -Lab# Sample ID Composite Matrix Collected Collected Pres. Container <br /> /03c) Y<.Q 6x`{O0r\ E <br /> T = X303 EZ-$ 5� <br /> -- _r--U. 05 <br /> 5 <br /> 16 X <br /> 0 �D <br /> — ]tcluiq fly � Received Q} Date Time <br /> eluiq B} Received RDate',L Tune 0 ryC^7 <br />-- r <br /> Relmq/ll� Received B% r. Date Time <br />