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2012-06-28_PERMIT FILE - M2012032 (18)
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2012-06-28_PERMIT FILE - M2012032 (18)
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Last modified
8/24/2016 5:02:02 PM
Creation date
6/28/2012 3:41:51 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M2012032
IBM Index Class Name
PERMIT FILE
Doc Date
6/28/2012
Doc Name
112Dā(1)ā APPLICATION PACKAGE, APPENDIX 3, PART 1 OF 2
From
STAR MINE OPERATIONS
To
DRMS
Email Name
GRM
RCO
Media Type
D
Archive
No
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M9013711 <br />CHAIN OF CUSTODY RECORD <br />Proud Number <br />Sampler. (p n N.m.) IMf I .re <br />John & Ron Trujillo <br />Signature: 4 <br />Relinquished by: {PM <br />Ron Trujtt1 <br />Signature. xt <br />Relinquished by: (Print Nana* <br />Signature: <br />4 Yes 4 -1 Gal Liquid <br />Date: <br />6/20/97 <br />Time: <br />Dale: <br />Time: <br />Chain of Custody Tape No.: <br />Send Results/Report to: <br />Falcon Price <br />Signature: <br />Received by: tP+fi Nom* <br />. = 45 F <br />Relinquished by: (Print Name) <br />Signature: <br />Date: <br />TI <br />Received by: (PAM <br />/ /ha <br />Signature: <br />Analytical laboratory (Destination): <br />ENSR Labs <br />Fort Collins, CO 80521 <br />Serial No. 1 Z <br />
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