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D� foo � 3 <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: to 1'2 I <br /> 408-979-0661 office 408-640-2899 Dave Guthridge cell phone <br /> 408-979-0621 fax Contractor's License Number 445403 Proj. No. 66iCo <br /> Project name: <br /> Page --S of 7 <br /> �,,,t <br /> Relinquished by: Received by: Date received: ron- <br /> Print name: z�iaJ n rint name: 47 <br /> Company name: !, rt3 Lab name: TA r Heq I Time received: <br /> Special Instructions ` <br /> t�Q Recieved in good condition <br /> n E W N `tf Yes �, No _ <br /> co' a Total#of Samples <br /> a < .�� v <br /> Sample I.D. Date Time Matrix z' a h Comment <br /> -oM <br /> —OlqA <br /> — <br /> 0I9A oloclo -cz" o t`(i(o z ro 50« f Iv <br /> 01(oA ob «o -,4 —tz- '94w� z3o riv L 1 fa <br /> 12c.& y. _ — - <br /> ��I� <br /> C71Q 6114o-3 -1V'. �� 1Z 26 <br /> —17�p Icily IV•24' l v`��i5 - 't,+a '��'�- 1 tU <br /> E <br /> atr(411UISL.etl <br /> -1 IA-1k <br />