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Ds o oc�3 <br /> F <br /> ght, Air and Space Construction Chain of Custody <br /> iling address: P.O. Box 36303, San Jose, CA 95158 <br /> Office address: 1707 Little Orchard Street, Suite A, San Jose, CA 95125 Date: o z n`o <br /> 408-979-0661 office 408-640-2899 Dave Guthridge cell phone i <br /> 408-979-0621 fax Contractor's License Number 445403 Prat. No. 5(6t(o <br /> Page of —7 <br /> Project name; 54� rti,V-nv-e <br /> i <br /> Relinquished by: Received by: A AU Date received: ,may <br /> Print name: ,cl Print name: ,, N <br /> Company name: L -0Lab name: U K Time received: <br /> i <br /> Special Instructions <br /> Recieved in good condition <br /> Yes No <br /> v <br /> CL E � <br /> r� F Cr ' <br /> v. y <br /> Total#of Samples <br /> QT <br /> Sample I.D. Date Time Matrix z' Q Comments # <br /> —17t7 rnw-t a i�al��a,5' rd��/b .�€� �o►� I 10 v <br /> �Ot) `,Azeo OS65 10 I <br /> --0 l <br /> ►� �v�, Q4o� gvr� j IO <br /> —OA rmU4,-z a 5'-6.6' W41"q (106; s a 1 <br /> �D7 rnw z e i5'--r5.5 r°hyo ✓ - <br /> -0 <br /> 1 <br /> 0 <br />