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L_l~(3~ <br />r <br />a, <br />W <br />b <br />0 <br />0 <br />0 <br />CHAIN OF CUSTODY RECORD Laboratory Sample Numbers(ACZ Use Only): COC# 735 <br /> Name to Appear on Report: invoice to: <br />CZ <br />Laboratoiries, Inc. Climax Mine Climax Mine-Accounts Payable <br />TI3 Downhill Drive Highway 91-Fremont Pass P.O. Box 13368 <br />Steamboat Springs, CO 80487 Climax, CO 80429 Phoenioc, AZ 85002-3368 <br />(970) 879-6590 (800) 334-5493 Attn: Pete Wemer Tel: 71948621 50 Attn: Michelle Kelley Tel: (602) 366-8241 <br />Projector P.O. # ~ ADDITIO NAL AN ALYSES FIELD ANALYSES <br />Mi300KZ w w .. .. <br /> 2 <br />Q <br />F <br /> <br />p~ <br /> <br />U <br />- <br />J <br />i <br />ti <br />pC{11.pyC <br />RG~<U'1R1~~7 <br /> z <br />° ~ o <br />£ r c <br />~ <br /> <br />Shipped Ya: UPS <br />v <br />o <br />~ <br />- <br />~ <br />~•~ Priority 50 <br /> ~ <br />o <br />~ <br />d .. .. <br />SAMPLE LOCATION SAMPLE td TIME BATE ar sn <br /> <br />RweA CL-MW 9:10 3/4/2007 5 ~ ~ (~' ~ ^ 7.2 5.9 42.6 139.5 6.17 PYYemer <br />GW #1 CL-MW 10:55 3/4/2007 5 ~ ^ ~ ~ ~ 6.4 6.7 44.1 349 12.7 F Werner <br /> <br />GW #2 CL-MW 11:40 3/4/2007 5 ~ ~ ~ ~ ~ 6.6 6.4 43.5 93.1 21.94 P Werner <br />RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: {SIGNATURE) DATE TIME Page # <br />~~~-~ 3-~~ ~ ~ 9 8~ CC. ~'v~' ~~',~ t <br /> of <br /> 1 <br />