Laserfiche WebLink
fCC7 <br /> 1{'ia)1�1tA'1`EI) iNSUltANCi�P.O. Box 586, Citrus Heights, CA 95611 <br /> PNIC <br /> C11AIN OF CUSTODY <br /> INf ASS URFRC[ Of UU+IIIIT L1 Novato, CA, I I Digital Drivc, 9.1939 <br /> 1111Th;: (415) 883-6100 Fax: (415) 883-2673 <br /> Consultant's Nanle: Aegis Environmental, Inc. lrc& Moore Petroletlln, In Page of <br /> Address: 1050 Melody Lane, Suite 160, Roseville, California 95678 Federaled Sile Location. 5491 t Street, <br /> Project Contact: Laura Odenthal mwne #: (916)782-2110 Fax p: (916)786-78301 Fede raved Coni act: <br /> Sant ded h ()rint): +•. Sant filer's Si 'nature: _ Phunc y: _ FAx a: _ <br /> 2121 <br /> Shipment Method: Consull:wt Project if: 90-099 Federated Claim ar: 837-162 <br /> TAT: ❑ 24 hr ❑ 48 hr ❑ 72 hr Standard (10 day) Sample Condition as Received <br /> ANALYSIS RP_ tIIRFI) Temperaitfre' C; <br /> Cooler a: <br /> o <br /> I❑houttd Seal Yes No <br /> ca olllhnllnd Seal Yes No <br /> Cn Vl N h <br /> Ql^ <br /> Sample Description Collection htalrix Prsv N of PACE0� p� <br /> DaIC/NOW SniVWatel Cunt Sau114C# Mg x< <br /> n.a. 0.0. C'pA1h1LN'TS <br /> Mw rw <br /> E <br /> Relinquished by/Affiliation Date Time cce ted y/Affiliationle Time Additional Comments; <br /> MOP <br /> a �. y <br /> hZ5 <br /> Z (/!7 <br />