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iu~~i <br />CORE LABORATORIES, INC. <br />No. 4ti~:i1 <br />CHAIN OF CUSTODY RECORD <br />i.> , .. -. ICUSTOMEH INFORMATION ~; r ;j ~ y ~ ; ~ PROJECT ~ T1011 ~ ~ .- Op: ,, <br />CGMPANY. Q •' r <br />M1/ 6~ PRDJECT NMIEMR6ER ^ D <br />. <br />m ~ <br />~ <br />` <br />SEND REPDRT TO BILLING INFORMATION a <br />c <br />W y <br />~ <br />~ <br />ADDRESS <br />lf! 01LL TO Q <br />~ o ~yOJ <br />~ <br />• a 4/ <br />p <br /> <br />r# <br />AD RESS _ <br />0 V <br />2Q" ~ ~, , <br />~ LAB JOB NO. <br /> 8a I. W P c 9(ao7 2 a <br />PHONE ~ 0 - PHONE m <br />FAX ,//~ _ ~ <br />7 FA% PoNO. Z <br />- s~7.vlE DESCnIPr1DN ~ ~ y~x: cn67ra7~R tree PITFSEnv. REMARKS 1 PRECAUTIONS <br /> <br />w 3 ~- ~.~_ /y' ot1 s~ e~ <br />Z 3-I /S: w cslx Iso <br /> <br /> ~ aNK <br /> <br /> -.~p~e~ . J1' enlS <br /> P u ~ <br /> IJIS ION <br /> <br />sAMPLEfl: 1 e SHIPMENT 4tlR0D: AIRBILL NO 1313 Y M!i n Si': <br />(h, <br />IIEOUIREO TURNAROl1ND' ~ ~ SAME DAY ~ ~ 7a HOURS I I AB W,7U0.S T2 HOURS 5 DAYS ~ 10 DAY$ I ~ ROUTINE DTHER ~7 <br />e. Y a <br /> DATE 2RELAICl144iD RY. DATE 7. FlELM7WISMED RY' DATE <br /> -70 SIGNATURE. SIGNATURE. <br />P RFA NA/IE,COMPANY 1 <br />.z PRINTED NAMEC011PANY TIME PflIN7ED NAMEICOMPANY TIME <br />NED H1: DATE T. REOFrvED BY: DAZE 3. PECEI OBY. DATE <br />TUFF: 7~ ~ <br />G SGNATUIY: SIGNATURE. <br /> C~ TI <br />/~ PRNTED NIAEA.OIPANY. TNAE PRINTED NAMFi>rOMPANY TIME <br />• RUSK TUFNARDUND MAY REWIRE SUNLHARGE <br />^ ArA,r, bNaei, ^ Anp, IDenenl, CeNrelu ^ [~. h~~b6 ^ C~Le C6e®, fae, ^ Nwnw, Teau ^ bb Clurb, lMi[iw. ^ fuel /esA <br />GYbnu <br />1190 E. Geae Aunt WaY 10103 E. 6nNm Ouw IM tM Iv 9ewe 113] Nmh /ebe ltl,nd Dine 1710 Maury 6oea 3N9 t,11n Pnb4 , <br />]100 CAw[y A,emN <br />Mlyun, 4lduau Rltl6 Aurora, Csk[eao 600N f+p.F,x..q /7~1 4qn CMmi. Te.n )1901 Nounon,Tnn 77075 Subhur. louou,u/0667 fool Bn[n, Gbiomu 9060/ <br />171119]71099 170711511780 770117755711 61117197613 171719979716 131115B7J976 171015996901 <br />110011011617 160019777677 {6001666 D716 It0015M 6771 600117976)7 {6001769{976 6001 t1U.J3 <br />lAfk <br />zl~ <br />