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- rte..-.. . <br /> 71 <br /> Phone(e916)782 2110 AEGIS Environmental 'Consultants Inc. Send results to: <br /> FAX (916)78(,781(1 s Aegis Environmentai <br /> Sample Identification/Field Chain of Cwtody Record 801 Rivmide,Suite C <br /> Roseville,CA 95678 <br /> :K CDJ ` ! r l Fcr Shell Projects Qn� <br /> . 5'61 f cn �1 Cf11�-, 3`�rlC�Gn (A. w1C: -L 7i2 <br /> Site Address. <br /> AEGIS Project#:—70—02._0 AFE: <br /> 1—� Shipped By: Avu;` C1'/DL: <br /> Shipped To: �S-rnVaia «v �I(h� — Shell Engineer. �1,rrrl� �ubi•.art <br /> .t Project Manager G''"^ -r E b er liau,rdous Materials Suspected?(ycsino) <br /> © Sampling Samp;Z7 No.of Analysis <br /> Point Location Field 1DIt Date TVDe Containers Required <br /> Q2�Z /z��Ya <br /> L)#"".�11 7Y�`/ Y)Ey, <br /> f pNi ATL- <br /> 63/y i,lWYG � fit+,.: ! �tll r; <br /> —J <br /> Sampler(s)(signature) - <br /> Field ID Relinquished Sy(si(signature) Received.By(si natur Datterl'ime Comments <br /> ��i/t./ f'�.'Yft•r. '�f�/t' Irl is '!`✓�' +.1 r •" /i` r' � — r. <br /> Scaled for shipment by:(signature) ,F-(A f�_: Date/Time: 3/-010.4' 16; Shipment Method: r<'L•r +"rte <br /> Received for Lab by:(signature);,; / - t`. Date/rime: /'C:`';: `I. Comments: <br /> j - Receiving Laboratory: Please return original form after signing Por receipt of samples. <br /> r I <br /> _._Wl.ir!{1•ini-,.1. Vrll R hf•..... • ' '• ._. ..__.. _ _ �� - <br />