Laserfiche WebLink
' i i !a!:Inc. <br /> ,v <br /> Phone(916 _!I(1 Sind resulls to <br /> FAX (916)7 6-781(1) AEGIS Tnvironme n � Consultants, c. Aegis Environmcnial <br /> S;Imple Identilicaliun/Field Chun of Oistody Record 801 Itiversidt,settle C <br /> Unseville,CA 95678 <br /> hor Shell 'ro�cctti Only <br /> Sttc Address allIo�Eu 1 � 1`Z°'�� WIC <br /> AEGIS Project a U- 09 7 AIT <br /> Shipped By A L 5 CT/DL <br /> Shipped To 6 C ti's s�a --- --- --- Shell Lngi cc.r <br /> Project Manager. ?:�243 cal.��� _ I larardous Materials Suspected' (yes/no) <br /> Sampling Sample No of Analysis <br /> Point t ouition heeld ID# Dale 7 vrie Containers Required <br /> 6& 1S Te <br /> �oc1t. �(dt l�l�w W i-17-4ACC /tQ-- 5� ` _ ►_. �_q} _ SOIL 1 _�n3 tae yrto <br /> 4a - 10 <br /> 13) <br /> spa - - IT <br /> Sampler(s)(signature) r", � it t+w) 1JE1u0cr2su,3 t i <br /> Field ID elan u hed By(signalure) Received By(signature) Date17 Ime Comments <br /> Ju ti i2 <br /> MAN , 3 i'l I� r � �lJA i1 i� /U w <br /> Scaled for shipment by (signature)—OG � ._ <br /> Dale/rime c/4-0 i fo Li Shipment Method �dd <br /> Received for Lab by (signature) Date[)tate Comments _(M_ S I Te 5,06 <br /> ^J 10 4A4 s83 <br /> Ri.cciveng I aburalory Pleasc return o1`igues1101`111.11Ice %ignueg for i ccpt of *amplc% <br /> Whac/0111.11tsl Y411uwli A)( opy 1'1114.11 NIL((K)y <br />