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llllllllll��� tlllllllllll 1111111110 tlllttttl0 tllllllll0 ttittttttll tltttttttt! � tlltlltll� � t� � � <br /> d7 <br /> Phone(916) 2 2110 Send results to. <br /> FAX (916)766-7830 AEGIS Environmental Consultants, Inc. AegisFrivironmental <br /> Sample Identification/Field Chain of Custody Record 801 Riverside,Suite C <br /> Roseville,CA 95678 <br /> For Shell 'ro�cctti Y <br /> nty <br /> Site AddressAI &17'Of62'- 1 LJ ! 0� w1e <br /> AEGIS Project# d 9 AFE <br /> Shipped By .AE6r s - -- - CT/DL <br /> Shipped To Ce A� - 5l0 - --_.-.- - Shell En6i ccr <br /> Project Managerk5) CW 1,^)L Hazardous Materials uspected7(yes/no) <br /> Sampling Sample No of Analysis <br /> Point Location Field ID# Date 1 VDe Containers Re uired <br /> of € or-� EJl �y c�J r1�►an6L /l0 '4� -- - �—31-S 1 Soi L 3 eoc S Z ba — 1 <br /> os E <br /> Spa - I <br /> Sampler(s)(signature) 4,, J rt ltrla.l ENOtr2sc,.J <br /> Field ID ARelmquWhed By(signature) Received By(signature) Daterrime Comments <br /> g , U 13 12 t 9, /t) w <br /> I arw�`vf " <br /> Scaled for shipment by (signature) G Date/rime ol-d`c 1 /U W Shipment Method <br /> Received for Lab by (signature) Datefrime Comments M 5 r CE 5 j06 U <br /> I1 t2 n�fu C UM �srt� <br /> SP13 S13131z/ rs It, (,-j 4o <br /> Rttervang Laboratory Plcase return original form.titer signing for receipt of samples <br />