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(SLBti11T THIS FORM WITH THE SURVEY REPORT WHEN APPROPRLkTE) <br /> Zupits hudsonius preblei Injury/Niortality Documentation <br /> Found dead <br /> Found severely injured,euthanized <br /> Slightly injured,returned to wild <br /> Died during handling <br /> Date/Time: <br /> Location: <br /> Weather Conditions: <br /> Approximate Time Trap Set: <br /> Time Trap Checked: <br /> Field Technician(s)Present: <br /> Information: <br /> PIT TAG number: <br /> Weight(g): <br /> Total Body Length(ram): <br /> Tail Length(mm): <br /> Hindfoot"Length(nun): <br /> Ear Length(mm)> <br /> Sex: <br /> Reproductive Condition(s): <br /> Description of Injury: <br /> Details of Probable Reasons for Injury or Mortality: <br /> Signature of Teehnician(s): <br /> Page 20 c f 20 <br />