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Light, Air and Space Construction Chain of Custody <br /> Mailing-address: P.Q. Box 36303, San Jose, CA 95158 <br /> Office address: 1707 Little Orchard Street, Suite A, San Jose, CA 95125 Date; <br /> 408-979-0669 office 408-640-2899 Dave Guthddge cell phone <br /> 408-979-0621 fax Contractor's License Number 445403 Proj. No. 06 f o <br /> Page 2 of 7 <br /> Project name: <br /> Relin uished b : �' <br /> Q Y Reserved by: Date received: 1�_'�'-0�'_ <br /> Print name: .dG Print name: <br /> Company name: �, .��� Lab name: trlietii Time received: 1 <br /> Special Instructions a <br /> to Q Recieved in good condition <br /> CL m °' Yes No <br /> E m <br /> 0 'o y A Total#of Samples i <br /> E Q a % # <br /> Sample I.D. Date Time Matrix z aK Comments <br /> '0t0ur3` 60'- Imre �r?u� Saic t Io v <br /> Olfl4 A74A,- <br /> 17rz7D �O <br /> /1t tis 3 E; ZD.Zp`_ tcl7� Sac_ S lU '� ✓ <br /> s <br /> log— <br />