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fi r <br /> t <br /> ort results Io: <br /> Aegis F:nvironmentul <br /> Pim�,�(916) 2110 AEGISff�:nvi '{D[lnli'IlCill COIlSl3�talI1tS� In[. 8111 Riverside,Suite C <br /> i•AX {)16)786.78311Roseville,CA '156711 <br /> Samtytc ldcntit'icatilutlt''icltt Chain ot'Custod}' itccort3 <br /> For Shell Projects Only �Z � <br /> WIC: <br /> 1�(�•= -�`— <br /> 5ilc Address: A1C: <br /> AEGIS Project <br /> CT/DL:X11 , z: <br /> Shell Em;incc r: <br /> Shipped By, !� ? [► I G' <br /> Shipped To: r Hazardous Materials Stupccu d'!{y no <br /> i/J!!h IG•j /Ut _�L�l�- - Analysis <br /> Project Manages S;�rnple No.of Y' <br /> Sampling l.ocatism Field IDN <br /> Date7' a Containers lie aired <br /> Point � ` _ in 11 x <br /> L , <br /> LEO <br /> i IJ - <br /> TPN �T i <br /> tt <br /> I. <br /> it j� <br /> n Comments <br /> Samplers)(signature) Received liy(si nature) Date/Time�� S L�A�u� <br /> Field fA Relm uishe BY(si Hata ) u 9�r= <br /> IJ/S/ya :c 'rLI <br /> �yJGG f��'t <br /> G <br /> t/ f <br /> Datc(fime: _ctt 5 Shipment Method: <br /> SCaIGf for shipment b ('signatur DalC/TiinC z oU Comme ts: <br /> v . - <br /> , J <br /> Received for Lab by:(signature) <br /> ` z <br /> 7 <br /> i'lease relurn origin:I form'f r signing for receipt 'samples. <br /> + � Receiving Laboratory: <br /> i <br /> 14hilclrleie;iird }'cllaafl:d,Copy <br />