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Y <br /> ✓r' <br /> O <br /> i <br /> Light, Air and Space Construction Chain of Custody <br /> Mailing address: P.O. Box 36303, San Jose, CA 95158 Date: to <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 <br /> 408-979-0621 fax Contractor's License Number 445403 Proj. No. t2ro( a <br /> Page 5 of <br /> Project name: -5,a0k Me-tZ-LPke.J <br /> Relinquished by: 4141 Received by: 57 rPA&A l Date received: <br /> Print name: ,,, 1 G-:RnAn ar Print name: m A <br /> Company name- J-p- Lab name: U Time received: <br /> a � <br /> Special Instructions �} Recieved in good condition <br /> , <br /> CL ID tj Yes No + <br /> 2 F <br /> m 1 5 <br /> o cx Total#of Samples 3 <br /> A Q V A <br /> T � 4 <br /> Sample I.D. Date Time Matrix z a �` .�� Comments <br /> (1g 1:52a sari t rG, C <br /> -00 <br /> '031 T,rrc- t i-yZr. l�lz�o j3Nr� nc Co <br /> -3 p 614,-r-t <br /> E , <br /> =03j <br /> (o <br /> -Z+�" !d!�(o$ ✓ - _ w j <br /> _{ 06)(0-A--elf ! coli/� a asrI no. i <br /> —03lo <br /> Reh.qu b" x <br />