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f Pace Analytical - CHAIN OF CUSTODY RECORD - Page of <br /> PaceAnalytical Y <br /> Sheridan, WY and Gillette, WY All shaded fields must be completed. # <br /> 1 his is a legal document any misrepresentation may be construed as fraud <br /> Client Name Project Identification Sampler(Signature/Attestation of Authenticity) Telephone# <br /> Grand Island Resources Waste Rock Characterization <br /> Report Address Contact Name ANALYSES / PARAMETERS <br /> PO Box 3395 Seab Muller d <br /> Nederland Co 80466 IlEmail smuller@nedmining.com o <br /> Cn <br /> Invoice Address Phone 208-582-3218 <br /> ra <br /> Same as above Purchase Order# Quote# <br /> Z REMARKS <br /> LAB ID DATE TIME SAMPLE #of m <br /> (Lab Use On! ) SAMPLED IDENTIFICATION Matrix Containers Q <br /> J2 L' z 07/20/22 1200 607748 SD 1 <br /> David YouvLq ###### 16:00 -ice' ( 1 - J 1 i <br /> SHIPPING INFO MATRIX CODES TURN AROUND TIMES COMPLIANCE INFORMATION ADDITIONAL REMARKS <br /> J UPS Water WT Check desired service Compliance Monitoring ? N <br /> • FedEx Soil St_ J Standard turnaround Program (SDWA. NPDES,...) <br /> • USPS Solid SD © RUSH - 5 Working Days PWSID/ Permit# <br /> ❑ Hand Carried Filter FT 0 URGENT - < 2 Working Days Chlorinated? N <br /> ❑ OtherRace Analytical Other OT Rush 8 Urgent Surcharges will tfillv)*V1letm0 i!3 q osal: Lab x Cnert Rev 4 7 Web <br />