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DAILY FIELD RECORD AM EC Geomatrix <br /> Page 1 of Z <br /> Project and Task Number: 10626.000.0 _Task.4 Date: � � 7 O,(O <br /> Project Name: MonierLifetile LLC Field Activity: Gz-ozmchratez•:Vonitm-hzg/Sampling <br /> Location: Lathz-op Weather: <br /> PERSONNEL: Name Company Time Time <br /> In Out <br /> % AMEC Geomatrix, Inc. Is <br /> I <br /> i <br /> PERSONAL SAFETY CHECKLIST <br /> Steel-toed Boots Hard Hat Tyvek Coveralls <br /> Rubber Gloves Safety Goggles 1/2-Face Respirator <br /> DRUM I.D. DESCRIPTION OF CONTENTS AND QUANTITY LOCATION <br /> TIME DESCRIPTION OF WORK PERFORMED <br /> S�ice, <br /> 9 ' <br /> C�'• !� C�.�,,tri es3�e, � cre.k�.,� <br /> � �. O- <br /> 10 '1171 r \A -3 <br /> C~ ►J �� r <br /> U---f cam, t <br /> 1 a2lo <br /> �, . O Z!7 ZO/D- s ti( <br /> c / C/- 3 6,,.,G 5 ©z — 30 6i'11-5 <br />