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a Canonie Environmental Services Corp. <br /> Field Sampling Log <br /> Project Namer e- Project Number <br /> Sampling Location <br /> Contact person Phone <br /> Sample I.D. Matrix Type of Container No. Field Data/Notes <br /> 12 CXfl� <br /> Site Diagram, (Include Compass Bearing) <br /> Date: - $ ko( <br /> Time Depart. : <br /> Time Return: <br /> Mileage: ff <br /> Sampling Method:L01•t� 19 i 0. S„G7�ry5 r i-a <br /> Remarks• <br /> r+e,t <br /> Q <br /> - <br /> Sampler Signature Date �' <br />