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F (916)78AEGIS Environmental Consultants,, Inc. sena results(916)T$5-7836.7834 Aegis <br /> FAXAX s Environmental <br /> Sample Identification/Field Chain of Custody Record 301 Riverside,Suite C <br /> Reseville,CA 9K679 <br /> ? For Shell Pro'ec1 only <br /> Site Address S �l �l 1/ ! , SDrY�eM __ wlc. 21P 7M2s ole/ ill <br /> AEGIS Project H: 90—01-0 AFE: _-- <br /> Shipped By: G915 CT/DL: <br /> e vole <br /> Shipped To: Shell Engineer: ; <br /> Project Manager f ra y (hu,&r Hazardous Materials Suspected?(ycgno) <br /> Samplingr Sample No.of Analysis <br /> Point Locatioe-r Field ID# Date TyDe Containers Required <br /> OV3 LIS7 ��� 3rzy/�,o x,f B/ass 77//,Brix, <br /> B- 17' )0 Ob-345 <br /> Sampler(s)(signature) <br /> Field ID Relinquished[3 (signature) Received ,(si ElaWre) DaIeFI'ime Comments <br /> / Z '(Y' <br /> SealuLfor shipment by:(signature) ;f! _ Date rime: �d 9O Shil Trent Method: <br /> ,1 cceived for Lab by:(signat,,) fir• J� %J-s��c— 2�CV t) >�+t C�!� wic/Tirne:3/3 Comments: <br /> Receiving Lzboratory Please return original form after signing for receipt of samples. <br /> Whuclonginsl Ycllowll ah QVy PinkrFiilc Copy <br />