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l <br /> Light, Air and Space Construction Chain of Custody <br /> Mailing address: P.O. Box 36303, San Jose, CA 95158 <br /> Office address: 1707 Little Orchard Street, Suite A, San Jose, CA 95125 Date: la(—T1 <br /> 408-979-0661 office 408-640-2899 Dave Guthridge cell phone <br /> 408-979-0621 fax Contractor's License Number 445403 Proj. No. D(otro <br /> Page i of —7 <br /> Project name: Ysa cic- h a�eri-r <br /> Relinquished by: Received by: Date received: <br /> Print name: _ 2yo 61 lql 'e- Print name: h <br /> Company name: L.(NAI Lab name: K Time received: <br /> Special Instructions a Recieved in good condition <br /> yYes No <br /> E S <br /> o :` © Total#of Samples o <br /> Q T y <br /> Sample I.D. Date Time Matrix z' E a LJ\ Comments <br /> -Ol)lr� 11�w -le 5-5.5' r°lt/v D8'{5 50� I to ✓ ✓ <br /> �l7 anw -t e ILY-w.6' r°/i%5,69So yo I Io U <br /> �00 mw -i 15'-t�.5 °6/ob 04x55 ° '0 <br /> —,) M w-1 e 6 iju« to ✓ <br /> -ate rnw'Z Ncora/og nos 5ole. lLQv v - <br /> -00 /nv 2 e �5' "lab /I/X> Sam <br /> - <br /> ro <br /> ro y <br /> X07 rnw r e fs'- s,s' 1, //zo $V�r t ro <br /> `00 Mw z 0 70`— W ru/4/c5 04> 1 50" I /D <br />