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-IS-2 � Send result-.1��. <br /> Phone(9 16) rb..2110 <br /> FAX (916)786-7830 AEGIS Environmental Consultants, nc. Aegis Environmenfal <br /> S <br /> ample Identification/l�ield Chain of y CuMod Record 801 Riverside,Suite C <br /> Roseville,CA 95678 _ <br /> V— 6%1 <br /> r For Shell Projerlti Only <br /> Site Address. Q.� WIC — <br /> AEGIS Project 11: AI'E — <br /> CT/DL <br /> Shipped By* ' - - -- <br /> Shell Engineer <br /> Shipped To: <br /> ftwt Manager C`r a�L! = � Hazardous Materials Suspected?(yes/no) <br /> Sampling Sample No or Analysis <br /> Point Locathin Field IN Date 7 ype Containers Required <br /> r <br /> mow. <br /> Feet q a <br /> ,F�t' Q�. <br /> Sampler(s)(signature) <br /> Field ID lin uished R (signature) Received Is (signature) Dale/?ime Comments <br /> Scaler!for shipment by:(signature) Datef I ime Shipment Method _ n e <br /> Rcccivpd for Lab by (signature) <br /> Datclrimc -/ 0~ Comments 1.20 0 1 Llizz <br /> Receiving Laboratory: Please return origin matter signing for receipt or samples. <br /> tllllllll tlll� ill• tl� l� flltlll� �tl Il•►WA lllllllllnk/1�llllllll� l� llllllli lll� tlt� tl♦ <br />