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D9 (Do6.3 <br /> L <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: J&7/0 <br /> 408-979-0661 office 408-640-2899 Dave Guthridge cell phone <br /> 408-979-0621 fax Contractor's License Number 445403 Proj. Na. 8 c�C(o <br /> Page of <br /> Project name: Lq,5 2A AeW4 <br /> Relinquished by: Received by: Date received: <br /> Print name: Print('.;U ,,,�,o Print name: <br /> Company name: LLQ i5 Lab name: 7 Time received: it : LX <br /> Special Instructions <br /> Recieved in good condition <br /> y <br /> Yes Y No <br /> E E <br /> 2 ~ <br /> o p Total#of Samples g <br /> 2 y <br /> Sample I.D. Date Time Matrix z' Q � .� CommentE <br /> —U 3 6dslLv '7 !°Nat% t366 nuc L fb <br /> `0 rIu, 1310 Sotc- lb <br /> - <br />~—O pyla-. 2x( tojp� t-166 Soca 1D <br /> --Da <br />