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, asp, <br /> ©8100 <br /> Light, Air and Space Construction Chain of Custody <br /> Mailing address: P.O. Box 36303, San Jose, CA 95158 Date: <br /> Office address: 1707 Little Orchard Street, Suite A, San Jose, CA 95125 <br /> 408-979-0661 office 408-640-2899 Dave Guthridge cell phone Proj. No. cls <br /> 408-979-0621 fax Contractor's License Number 446403 <br /> Page 7 of 7 <br /> Project name: S<.a ..l ��- <br /> Relinquished by: Received by: Date received: f6-�e- <br /> Print name: v Print name: <br /> Company name: f 9- a5 Lab name: Time received: 1 �� <br /> Special Instructions p Recieved in good condition <br /> Yes No l <br /> E_ y <br /> $ C Total#of Samples 8 <br /> o u. <br /> a Q d <br /> Sample I.D. Date Time Matrix z' F a i Comments <br /> "��(06 DILi i <br /> -04Obt • lf9_'W1 u>('7 - 7o IL \ lb I <br /> -�C�?R «,iv�t�-i z" `"(�l� l5or✓ 5a� t to _ � � <br /> Isco 601L l b <br /> _D Jv • l6'?if' - �J7�o -IHra✓ �9t 1 <br /> —OslPr -1 -7'+'' '°ids <br />