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f <br /> r � J <br /> Canonie Environmental Services Corp. <br /> Field Sampling tog <br /> Project Name �i _ Project Number <br /> Sampling Location <br /> Contact person Phone <br /> Sample I.D. Matrix Type of Container No. Field Data/Notes <br /> vl o <br /> 71 <br /> Site Diagram, (Include Com,pass Bearing) <br /> Date:- <br /> Time <br /> ate:Time Depart.:_-J C� <br /> Time Return:_ <br /> Mileage: <br /> L'' f <br /> Sampling Method: ba-c1C-- <br /> Remarks: <br /> CRemarks: <br /> Sampler Signature Date <br />