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Send results to: <br /> Phone(916)782 2110 AEGIS Environmental Consultants; Inc. Aegis Environmental <br /> FAX (916)786-7830801 Riverside,Suite C <br /> Sample Identification/Field Chain of Custody Record Roseville,CA 95678 <br /> For Shell Projects Only <br /> G(3/ /en c 5��� G� CA wlc: zoy- 752-5 0/6/ <br /> Site Address: 9O _ a 2 o AFE: <br /> AEGIS Project#: A e i CT/DL- <br /> Shipped By: Vo Io' Shell Engineer. <br /> Shipped To: Hazardous Materials Suspected? (yes/no) <br /> Project Manager <br /> Sample No.of Analysis <br /> SamplingField ID# Date T e Containers Re aired <br /> Location , BTBX <br /> Point C-03 s�9 9 5/27/10 �,1/8r ss <br /> B-6 <br /> 3S B7 TPH, a �X <br /> 6-7 1 rpm, eX ° v-® <br /> B7/ 0, <br /> �� <br /> 1[970 g <br /> 6 7 / r HI ar' <br /> 25� 1(573 B��S <br /> 8 -f� <br /> B-K yrs X157 a��9 <br /> �5775//� B�/s<— <br /> Sampler(s)(signature) Date/Time Comments <br /> Field ID Relin wished By(signature) Received By( 1 ature) / <br /> i CG�i P'i -;c&- <br /> '3130M <br /> cG313096 47'(- <br /> Shipment Method: (OV(\1eC <br /> Sealed.for shipment by: (signature) _ <br /> Date/Time: 31;079- - <br /> cG Aced 1 ~ U Date/rime:3 D -Lf3o Comments: <br /> Received for Lab by: (signature)IL 1LV a— <br /> � ��>� Receiving Laboratory: Please return original form after signing fur receipt of•samples. � � 1� <br />