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~55~~9 <br />CHAIN OF CUSTODY RECORD Laboratory Sample Numbers(ACZ Use Only): COC# 666 <br /> Name to Appear on Report: <br />' invoice to: <br />CZ <br />E.aboratories, InC. Cl <br />~max Mine Climax Mine-Axourrts Payable <br />773 Downhill Drive Highway 91-Fremont Pass P.O. l3ox 13368 <br />Steamboat Springs, CO 80487 Climax, CO 80429 ~ - Phoenix, AZ 85002-3368 <br />(970) 879$590 (800) 334-5493 Attn: Pete Wemer Tel: 71948621 50 Attn: Michelle Kelley Te[: (602) 366-8241 <br />Project or P.O. # ~ ADDITIO NAL AN ALYSES FIELD ANALYSES <br />CL29JR w ~~~ ~ ~' <br /> z <br />Q <br /> <br />~ <br />U <br />ti REMARKS <br /> r <br />2 <br />° <br />~ a <br />E <br />r <br />"' <br />r <br /> <br />~, <br />~ <br />m <br />-' <br />_ Priority 50 <br />Shipped Yea: UPS ~ ' " ~•~ <br /> ~ <br />o '~ m <br />SAMPLE LOCATION SAMPLE ID TIME DATE a o ~ ~ ; <br />GW #1 CL-MW 13:45 3/52006 5 ~ ~ ~ r? ~ 6.56 6.1 43 760 72.29 P wemer <br />GW #2 CL-MW 13:10 3/5/2006 5 ~ ~ ~ ~ ~ 7.3 5.9 42.6 250 29.59 P Wemer <br />r <br />W <br />-,~ <br />00 <br />~o <br />0 <br />~-n <br />• <br />RELINQUISHED BY: (SIGNATURE) DATE T <br />IME RECENED BY: (SIGNATURE} DATE TIME _ Page # <br /> ~S~ / <br />l ~~f~ ~ "~ :~ 1 <br /> of <br />. 1 <br />