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3 <br /> a <br /> 14 <br /> Light, Air and Space Construction �� of ���to�� <br /> Mailing address P.0 Sox 36303, San .lose, CA 95158 Cha, � <br /> Office address 1707 Little Orchard Street, Suite A, San Jose, CA 95125 0 <br /> Date �/ice tab <br /> 408-979-0581 office 408.640 2899 Dave Guffindge cell phone iv <br /> 408-979-0621 fax Contractor's License Number 445403 Proj No btc�( 14 <br /> Project name Page_�of '3r <br /> I _ <br /> r� <br /> Relinquished by Received by �t A4_ w <br /> Print name- Date received. ` <br /> - G � Print name, i.Aveo v <br /> Company name- Lr V-4, r <br /> -- -r- -- Lab name a 4- Time received l*° • <br /> Special Instructions <br /> rp <br /> R¢Ceved in goad conchven ' <br /> C m c �dv Q 41 1 <br /> Yes No <br /> 9 � i6 M C IO <br /> 0 3 9rr1 C7 ❑ v c f1 <br /> Total#of sampies 0 <br /> CE M <br /> EIDticDate Time Matnx z' ,� ~ �� L <br /> U_ Comments <br /> Mf j 111111,11 '111 00 <br /> 2. In .! .r J10lam � 8'7tY C6.r %4 <br /> tL �n.,;� ¢,, in <br /> Cta�M�w <br /> O <br /> M <br /> N <br /> F <br /> Y a <br /> F <br /> J <br />