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0 <br /> Canonie Environmental Services Corp. <br /> Field Sampling Log <br /> Project Name Project Number <br /> Sampling Location�cg2164�_ fP;IrQ- <br /> Contact person ;T M. rJ 1).f)i-o 1'1� Phone `'rW (o <br /> Sample I .D. Matrix Type of Container No. Field Data/Notes <br /> _IS 1 b <br /> Site Diagram, (Include Compass Bearing) <br /> Date:• 'S- o^l`f- `�� � / <br /> Time Depart. : f� <br /> f �� � <br /> Time Return: <br /> f. <br /> Mileage: 3 HL <br /> ��SII <br /> Sampling Method:�l n <br /> Remarks: <br /> tUertl, <br /> u <br /> )4 <br /> I ' <br /> I (� <br /> Sampler Signature Date <br />