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> <br /> • e .. •: -' to ,.. "' . , <br />� . Canonie Environmental Services Corp. <br /> Field Sampling Lag <br /> Project Name �� _;fit" Project Number Cl <br /> Sampling Location +�1 14tc-t�Oz-L7 r f �-7 (LA �(-X <br /> 2U �n Me7? ,UAQ ," tet Ajc4orz — F, ci««,l amr4v, <br /> Contact person Phone <br /> Sample I.D. Matrix Type of Container No. Field Data/Notes <br /> I <br /> I <br /> 1 <br /> { <br /> I # ! <br /> Site Diagram, {Include Compass Bearing} <br /> Date: '? <br /> Time Depart. :-9 '15'C" <br /> Time Return: C\, ?- C-" I t-,�l, I 1I <br /> Mileage: <br /> Sampling Method: <br /> Remarks: r�SS <br /> � t i <br /> Sampler Signature Date <br />