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CC Ae Environmental Services Cor , <br /> Field Sampling Log <br /> Project Name '_ _011 Project Number_ _ 0ysZ <br /> Sampling-Location 4� , ( t-oH_ � 0C 1c 70 <br /> Contact person + T Phone - - <br /> ample I.D. Matrix Type of Container No. - Field Data/Notes <br /> UJO-WC-2 line Z W <br /> eA- OJ <br /> ELF <br /> Site Diagram, (Include Compass Bearing) <br /> 5a., .Iou ..�., ' � cf�4 L✓. Sa.� <br /> -Z 3—SC '} IyoTn✓ ov —f,rt <br /> Date: �, k <br /> K <br /> Time Depart. : 1 3 '. 45 t h <br /> Time Return: t S 0 �� �� t <br /> V.1 C) F,gSy <br /> Mileage:- lt� <br /> Sampling Method: -- v v <br /> Remarks; 6(ru1s PCA C) I 0 T- <br /> �,t <br /> � -Z3- <br /> S inpler Signature Date <br />