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Canonie Environmental Services Corp. <br /> Field Sampling Log <br /> Project Name Project Number <br /> Sampling Location <br /> Contact person Phone <br /> Sample I .D. Matrix Type of Container No. Field Data/Notes <br /> i <br /> -------------------- <br /> Site Diagram,, (Include Com-ass Bearing) <br /> Date- <br /> Time Depart. <br /> Time Return: <br /> Mileage: <br /> Sampling Method: <br /> Rema rk s <br /> ---------------------------------------- <br /> ------------------------------------------- <br /> Sampler Signature Date <br />