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Canonie Environmental Services Corp. <br /> Field Sampling Log <br /> Project Name I\ice 1'\QP Ka Sa CIO Pc <br /> , Project Number <br /> Sampling Location 6-61p A) a t <br /> Contact person I1�C't'� j<a-5 D Phone lq(n �5 " a,000 <br /> Sample I.D. Matrix Type of Container No. Field Data/Notes <br /> Site Diagram, (Include Compass Bearing) <br /> Ubviaw <br /> Date:—7 7- CSS <br /> Time Depart. : <br /> Time Return: a <br /> ( 0. <br /> Mileage: M Ft; 1�5 �� /( Z <br /> Sampl Ing Method:_ k/t`cZ5 5 }y 6eS <br /> Remarks:L5o,1( is Qd4 ,,� <br /> Yeole�e 'fn��C�l <br /> Sampler Signature Date <br />