1997-06-13_REPORT - M1981302

• Permit No: M1981302
• IBM Index Class Name: Report
• Doc Date: 6/13/1997
• Doc Name: EXHIBIT A 10
• Media Type: D
• Archive: No

Type of Trap Used Type and Amount of Bait Used
Proximity, Degree, and Type of Human Development/Disturbance in Survey Area
No. of Mice Found and/or Seen _ Approximate Age or Maturity Weight_ gms.
Total Length mm. Tail Length mm. Hind Feet Length mm.
Other characteristics (e.g., enlarged mammary glands - lactation, scars, missing limb or toe, etc.)
Associated Animal Species
Other Relevant Information (evidence of disease, predation, injury, etc)
Type (e.g., fur-dying, toe-clipping, tag, etc.) and Exact Location of Markings
Photographs (mouse and its habitats): Photographer Repository
Sketch of Surveying Area, Map of Site, etc.
Additional Comments (relevant ecological/ethological info.; if site is disqualified, DETAILED explanation)
(SUBMIT THIS FIELD DATA FORM WrM THE SURVEY REPORT)