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Canonie Environmental Services Corp. <br /> Field Sampling Log <br /> Project Name I / Project Number <br /> Sampling Location _/O r f-I vi` <br /> Contact person p 9- Phone <br /> ample I .D. Matrix Typ�ofContainer �No. Field Data/Notes <br /> -Tube-- -[ <br /> Site Diagram, (Include Compass Bearing) <br /> Date: <br /> Time Depart. : 1 3 � //j <br /> Time Return: �' y �l �; CCIJ <br /> Mileage: L' <br /> (,7 <br /> Sampling Method: u <br /> Remarks: <br /> c�I� <br /> -------------- ------------------ ------------------------- <br /> Sampler Signature Date <br />