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- Jy <br /> 1 � <br /> 't <br /> f, <br /> i <br /> Phonc(916)784 2110 }' c yE}?g <br /> FAX (916)786-783(} AEGIS Environmental Consultants, Inc. Send results to: <br /> Sample Idenfification/Field Chain of Cuslody Record 801 Rivers-idr Su tetC <br /> Roseville,CA 95678 <br /> Site Address; ~L� � �RP,,A LA For Shell Projects()n!y <br /> AEGIS Pro. <br /> �e�t a: wlC: <br /> Shipped By: = 1 WS-f'DDY SE /p AFE: <br /> Shipped To: = CT/DL: <br /> Cid i� ___ <br /> Project Manage 1.{� .'h r' Shell Engit <br /> Sampling Ila- us Materials Suspected? <br /> Point Seel; � n �z� N <br /> _j �- `C • -Date ino) <br /> Location Field IDS Sample No.of Analysis <br /> �A , 7 e Containers Re urged <br /> �N, <br /> Sampler(s)(signature <br /> Field ID Relinquished 11 (signature) r <br /> Rec <br /> ived B <br /> e <br /> \ y(signat <br /> urDate/Time Comments <br /> Scaled for shipment by: (signatures ' <br />