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7.4 <br /> r _ _... - — <br /> i , <br /> Phone(916)782 3110 1 <br /> TAX (916)786-7830 { <br /> AEGIS Environmental Consultants, Inc. <br /> Send--sults to: <br /> Salnptc 7dcniif'icatiun/l�iclet Chain o['Ctlstudy Aegis Environmental <br /> `Record 801 1{iversidr,Suite C <br /> ✓v _ ; C�'�- f cr I R[,scville,CA 95678 <br /> Site Address: ' &Os S' E-71) k ! 1 <br /> ,c S e For Shelf Pr dents Only <br /> AEGIS Proj=j, WIC: <br /> Shipped By: <br /> Shipped To: W f A-1, 12 <br /> Project Manager A � � � C1IDL: <br /> Shell Engineer: <br /> AK-365 Sampling Nay"i'dous Materials Sus ? <br /> t7 Peint p��d• (yC;lno) <br /> I ncation Field ID t Sample No.of <br /> is <br /> D s ,!°_e� a 3 -- — 11 Dale T c No. <br /> Re ui ed s <br /> 1'� L 1'?r,�13 Zc7.S <br /> �z 5 HLtJ3 U 7� z�! , So r r3T�C�TPhrG� E1� 4r <br /> o. S r' t - 35' � <br /> l+ �7 <br /> E-PP i <br /> --------------- <br /> Samplei(s)(signature) <br /> Field ID Relin uishe ! (si-nature) <br /> Received By(signature) <br /> Dale/Time Comments <br /> 7 IS:oe <br /> Sealcd for shipment by: si nature)_,,, <br /> ( g <br /> Rr-ccived for Lab by:(signature) Dalcfrime: <br /> Shipmcm Method: Ca ,� <br /> 44 e, Date/rime '7 <br /> - 15O Comments• <br /> its ; <br /> - r <br />