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0912-010 <br /> .y:,. <br /> Light, Air and Space Construction Chap of Custody <br /> Mailing address: P.O. Box 36303, San Jose, CA 95158 Date: 1 Z�zlDg <br /> Office address: 1707 Little Orchard Street, Suite A, San Jose, CA 95125 <br /> 408-979-0661 office 408-640-2899 Dave Guthrid`ge cellphone r <br /> 408-979-0621 fax. Contractor's License Number 445403 Proj. No. QTZ-b <br /> Page�_of <br /> Project name: i '7 599 MC 4 v-e, 1L1A41ACeJ, 014 <br /> Relinquished by: "`T Received by: .7,�YA Date received: <br /> Print name: CM 7TL Print name: �yzn/_ <br /> Company name: Lab name: T ,-Tirr e received: <br /> Special Instructions MvM64 7 ' I, o Recieved in good condition i <br /> 'T°WG VO4 fro 15to <br /> N <br /> (3 TAX', M-r C)C-1 7 r, e-rA m m Yes ��No <br /> n E 5 m y ti r' <br /> E D8� !-Z OC �T�t u d f', E '= a m <br /> o o y T = o, ca Total#of Samples I (a <br /> a ¢ a. a. TI?' <br /> 0 0 <br /> Sample I.D. Date Time Matrix z' F Comments <br /> ©e%A jN1 nJ-yJ 'Vzlos i.z3o tvat'.t i N <br /> pat A W4ej,I If �j / <br /> do 9-A INcn i1. MU I IY wow Lt N <br /> . 7, <br /> •wt i%' i. ,. T ... . amu. .. ....w _, -- ...._._r..E-Y.1:._.�__- _' _—., —__ _ e+7 <br /> - <br />