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C) 0 <br /> Light, Air and Space Construction Chain of Custody <br /> Mailing address: P.O. Box 36303, San Jose, CA 95158 Date: LZ lz'ho <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. <br /> 408-979-0621 fax Contractors License Number 445403 <br /> Page �_of <br /> Project name: I PIC L'tft +LeAl Ai. c-e4 Gds <br /> In A m/o�crR2i Date received: 12i� Z 106 <br /> Relinquished by: Vti"Tr� Received by: —i— <br /> . <br /> .Print name: CM o44C4, Print name: n/a,�i/V �0 PM , <br /> Company name: <br /> �e <br /> Lab name: 7-A t / H Time received: 4' " <br /> Special Instructions Navrvta l 7�9 1, mo Recieved in good condition <br /> TPWG VN4 U19, �ro v Yes _� <br /> No <br /> 13TCX', M78r 7vt-nnr', E?/SF ✓JrPE E E N <br /> r8A E08 120c/� F�^� ol 2 m 16 <br /> i ? $ 6 E Total#of Saples <br /> Mtt�cwal� Ql o6 o sea a T <br /> a Q O O <br /> 3 e ¢ - Comments <br /> Sample I.D. Date Time Matrix z <br /> oo/A M W,1 !Yzio5 I z3o ioaltt `t N <br /> oo2 A NI{N ; IZ/tilo 131 w IIV <br /> oo3A ,W 3 IZ' ja8 I l0 W 4 oU <br /> 00q-A WA, <br /> t - <br /> { <br /> i <br /> , y <br />