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• Canonie Environmental Services Corp. <br /> • \ Field Sampling Log <br /> Project Name j I( 4clFd � 4ce- Project Number C) S(n <br /> Sampling Location `��`� '�c)2`, r,afl�e uo "J <br /> Contact person 4I CA T rPhone_ <br /> Sample I .D. Matrix Type of Container No. Field Data/Notes <br /> Lier <u-6 e2 <br /> ----------- - ------ <br /> Site Diagram, (Include Compass Bearing) <br /> 5 o � <br /> Date:— to - Z � '`6 9 <br /> Time Depart. : titzrc <br /> Time Return: ? D '•�f 5^ f %a ht, M <br /> Mileage; /I <br /> Sampling Method: tDrc�5S -FOLOj o <br /> Remarks: <br /> fi�,N� roe <br /> �--------------------- ------- -- --------------------------- 5-------------__ <br /> - -n------------------------------------------------------ <br /> ���� v <br /> Sampler Signature Date <br />