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N <br /> O <br /> Light, Air and Space Construction Chain of Custody <br /> Mailing address P Q Box 3£303, San Jose, CA 95188 safe ����•��� � <br /> Office address 1707 Little Orchard Street, Suite A, San Jose, CA 95128 <br /> 408-979-0681 office 408-640-2899 Dave Guthridge call phone Prol NoC� <br /> 408-979-0621 fax Contractor's License Number 445403 <br /> Page of '' <br /> O Project name Avtzwv� (fr, <br /> m <br /> i` <br /> rn Relinquished by Received by "eeo-7 Date received <br /> 00 Print name Print name 0;4w <br /> It Company name L«(N F,ti d'0&NM Lab name _ ffCsT ANaxcL& _ Time received. l9° - <br /> 4J <br /> w <br /> C Special instructions a Recieved in good condition <br /> a m <br /> V m 0 a am 1 Yes ✓ No <br /> a E �n y <br /> U m a t it 10to p m Total#W Sarnplas <br /> V) 12 9 1 p <br /> s. Q <br /> Sample 1 D Date Time Matrix d �' Comment: <br /> r <br /> .+ksf- decef <br /> 010 iia f Z c�G 1 p ,, 'I 1z 6 oiF4.. U%7 <br /> Of Db gra �i'i4, f? 1 JO v r v %t iK`dc rnir <br /> J D `) r'�ols 7 rp d of r we L4 n*a fs'd <br /> y�1-, /` u V r ix..brayr Chen <br /> D&nk^ oft <br /> M JAM <br /> O A I-t w h J A ` a <br /> -K OWAXd <br /> O <br /> Orb t!o �f+��ev , lU y v '�e E+ e �-cnef <br /> i, <br /> ro _ <br />