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Phone(916)782 2110 Send results to: <br /> FAx (916)786-7830 AEGIS Environmental Consultants, Inc. Aegis Environmental <br /> 801 Riverside,Suite C <br /> Sample Identification/Field Chain of Custody Record Roseville,CA95678 <br /> For Shell Projects Onjy <br /> Site Address: <br /> Sher 1 I /�,cr(i Sark r CA. WIC: ZoO 7Sz <br /> AEGIS Project It: 70-07-0 CTI <br /> Ae is CT/DL: <br /> Shipped By: r�rl �Zu6/a;on <br /> S�GVoia <br /> Project Mann <br /> •I �'(h� ShcllEngincer. <br /> Shipped ann —� ----� <br /> r Qi twn —�•(bPr Hazardous Materials Suspected?(yes/no) <br /> age <br /> Sampling Sample No.of Analysis <br /> Point Location Field ID# Date T e Containers Re aired <br /> a--� le' t0345�� a2/2 <br /> TP , bTEx <br /> Tr O, T. <br /> arm , <br /> 8�/7 j/ROc 1PH, FTP/ <br /> T1q, BTBX, Id''Z4 <br /> B— <br /> T My VT& X <br /> (A. � ltd 81Eh, I l•l I ,� <br /> 173//0 7/lG/p(f Io,l� h r-5 1 Tl�fl, fj(EXt <br /> wb cAl-? s/271 90 xv Dr:i', I TP// t.'ltr, I GJ(•, <br /> �_ w �� `!5 <br /> Sampler(s)(signature) l n r: <br /> Field ID Relinquished By(signature) Received By(signator Date/Time Comments <br /> Sealed for shipment by: (signature) <br /> iP'sa.r Date/time: 3 3O yv Shipment Method: 60 ri tAC <br /> �.� ,fir <br /> Received for Lab by: (signature)''' ,A <br /> 1 L E I� Date/Time: /`G' (- 'I, Comments: <br /> Receiving Laboratory: Please return original form alter signing for receipt or samples. <br />