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r <br />Canonie Environmental Services Corp. <br />�' <br />/ :r .t -e_ <br />Project Number <br />Sampling Location <br />f <br />s <br />►. r�1— <br />Type <br />r. <br />CoA <br />WIN <br />Date: Zr <br />Time Depart.: <br />Time Returns_ �' f `�a ��r <br />Mileage: I <br />Sampling Method: <br />Remarks: <br />Site Diagram, (Include Compass Bearing) <br />LA <br />Nr-��°v> <br />MON Al, 916 P, �- ?A �ffl K 9 M5 1, K � � = <br />/+ i <br />Sampler Signature <br />w <br />