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Canonie Environmental Services Corp. <br /> 11 II Field Sampling Log <br /> Project Name J a c 0 0, V,\ Project Number <br /> Sampling Location 144 ( <br /> Contact person -)eA c De?C-c, a n Phone <br /> Sample I.D. Matrix Type of Container No. Field Data/Notes <br /> Dsot - -C, 2 -7 , <br /> Site Diagram, (Include Compass Bearing) <br /> Date:— <br /> Time Depart. • 20 <br /> �� <br /> Time Return: � �_ <br /> S,te J If <br /> Mileage: <br /> Sampling Method: <br /> Remarks: e,.,,, <br /> C'lei <br /> d <br /> pah ,< S7 (H,)y , 2D <br /> ---- ----- ----- -- ---------------------- <br /> Sa pler Signature Date <br />