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3 <br /> Canonie Environmental Services Corp. <br /> Field Sampling Log <br /> Project Name f aQo.-k Sasy S _ Project Number <br /> F, Sampling Location.-.I$-1 7�Z iy 'i,,1 1� <br /> Contact person 19�6e� Phone oZi <br /> ample I.D. Matrix Type of Container No. Field Data/Notes <br /> To 6e <br /> - ' c{ <br /> ` II <br /> f <br /> I.t <br /> Site Diagram, (Include Compass Bearing) <br /> 64 <br /> Date: j e. — 'tc) <br /> . Time Depart.• _ <br /> P s <br /> Time Return: <br /> Mileage: l 3d n(a. o <br /> Sampling Method:�5 � ��1��5 a 1 ' °� <br /> Remarks: '77 <br /> Sampler Signature Date <br />