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2011-08-09_REVISION - M1981185 (53)
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2011-08-09_REVISION - M1981185 (53)
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Entry Properties
Last modified
6/15/2021 5:58:15 PM
Creation date
8/10/2011 11:23:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981185
IBM Index Class Name
REVISION
Doc Date
8/9/2011
Doc Name
CN-01 112d permit application Exhibit U Attachemnt U-4 part 2
From
Wildcat Mining Corporation
To
DRMS
Type & Sequence
CN1
Email Name
WHE
Media Type
D
Archive
No
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Lab Name: Green Analytical Laboratories (970) 247 -4220 FAX (970)•247 -4227 <br />Analyses Required <br />Comments <br />Address: 75 Suttle Street, Durango, CO 81303 <br />Sample' ID <br />Collection <br />Miscellaneous l Preservative(s) <br />Date <br />Time <br />Collected by: (init.) <br />Matrix Type <br />Fiom Table 1 <br />No. of Containers <br />Sainple Filtered ? Y/N <br />'Unpreserved (Ice Only) <br />£O`11 I <br />H2SO4 <br />HOVN <br />Other (Specify) <br />DA ; - J <br />r, <br />cl <br />: <br />t') <br />f� 'J <br />ii r ii•C <br />2. J; - "N <br />/i 7/ <br />,/ r <br />j J/ <br />t <br />i <br />' <br />- <br />3. S:.') - `` CT f /j <br />I <br />, / :?i <br />' <br />r <br />! <br />! <br />i. <br />I <br />4. H itr I,j <br />!r' �- <br />, <br />I <br />i <br />✓'-j <br />, <br />5.c _3 t , / 7( <br />Slr7ib <br />t7, C <br />il f <br />7 l <br />VI <br />L % <br />4 <br />J i <br />6. <br />7. <br />s <br />9. <br />10. i <br />r. <br />ReligiluisNcetbq /.. rr , <br />Dato: <br />Time: <br />Received by: -. i ./ <br />Da e: _ <br />Time: -, / <br />Relinquished by: '" <br />Date: <br />Time: <br />Received by: <br />Date: <br />Time: <br />Analytic <br />Laboratories <br />jf te <br />Client: �;/I/rk �l` � � ' <br />Contact._, r�1. j /' ✓l,•z �!Dr <br />Address: S75 <br />2 <br />Phone Number: 7:;/:) " <br />FAX Number: 50_, ?- 7'AA <br />* Sample Reject: [ ] Return [ ] Dispose [ ] Store (30 Days) <br />CUSTODY CHAIN OF RECORD <br />1) Ensure proper container packaging. <br />.2) Ship samples promptly foll&,ving collection. <br />3) Designate Sample Reject Disposition. <br />PO# <br />Project Name: j!,; /,, y' <br />Table 1. — Matrix Type <br />1 Surface Water, 2 = Ground Water <br />3 = Soil /Sediment, 4 = Rinsate, 5.= Oil <br />6 = Waste, 7 = Other (Specify,) <br />Samplers Signature: <br />• <br />Page / of <br />FOR GAL USE ONLY <br />GAL JOB # <br />
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