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F <br /> ght, Air and Space Construction r Chain of Custody <br /> ilingg address: P.O. Box 36303, San Jose, CA 95158 <br /> Office address: 1707 Little Orchard Street, Suite A, San Jose, CA 95125 Date: <br /> 408-979-0661 office 408-640-2899 Dave Guthridge cell phone <br /> 408-979-0621 fax Contractor's License Number 445403 Proj. No. cls <br /> Page "7 of ? <br /> Project name: Sgic► me <br /> Relinquished by: Received by: Date received: _J�-£�- <br /> Print name: Print name: ;& <br /> Company name: cJa�;aS Lab name: Time received: I <br /> Special Instructions p J Recieved in good condition <br /> CL E y W } Yes —/-- No , <br /> 2 <br /> 0 3 Total#of Samples S <br /> S <br /> E E d <br /> Sample I.D. Date Time Matrix z' ,� ¢ Comments <br /> -C'X{'rSI r exd(.-ki-rz" �, ��� D V— i , <br /> r -04 Obr�. (e--1w, +�(7 50f \ (4 <br /> d>tb <br /> lsS c> 6wc' ( b =r <br /> 0 &1,C-3g5-S14 11 ial 4 <br /> J- <br />