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p,~;~~N~a,W <br />CORE LABORATORIES, INC. <br />No. 120909 <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION PROJECT INFORMATION 00 <br />COMPANY ~ `~~'~ <br />a.7, PROIECi NAMEMUMBE ,~ y ~~Z' <br />SEND flEPORi ii ` <br />YV ~ BILLING INFORMATION Z ~~ <br />J <br />ADDRESS <br />23 S . - BILL i0 a ~y ~O <br /> Sol ADDRESS ~ v e <br />2 LAB JOB NO. <br /> o ~ 7 <br />~ ~~ ~ <br />PHONE. iO` ~ ~~O <br />J `' PHONE ~ <br /> <br />FAX <br />' may, ~6~ <br />rte/ 7 <br />fA%' <br />PO NO <br />= • <br />SAMPLE NO $eAPLE~DE$CRIPTION p~EE ~EE ~ H~% (ANTAINER PRESERV REMARKS /PRECAUTIONS <br />Ifl) ~=1 ~' w ~ !MF <br /> <br /> Ooo 8 <br /> Yz i <br /> ~~ ' <br /> <br /> <br /> W .1•i <br /> <br /> <br />SAMPLER SHIPMENT METHOD AIRBILL NO <br />REOWRED TURNAROUND. i SAME DAY L i 21 HOURS lB HWR$ ~ 72 HOURS ~ $ DAYS ~ 10 DAYS >CPOUTINE OTHER <br />I. RELIN ISNED BY DATE 2. RELINCUISMED BV: DATE 7 RELINQUISHED 6Y. DATE <br />IG URE' ~-E 6.•1 SIGNATURE SIGNATURE' <br />P IIITED NA F/C PAN Y <br />~ ~ <br />/1= T~~• PRIN7ED NAMEICOMPANY TIME PRINTED NAMF/COMPANY TIME <br />I. RECEIV DATE 2. RECEIVED BY DATE 7 RECEIVED 8V. DATE <br />SIGN RE i ~//~~ SIGNATURE SIGNATURE. <br />PRINTED NAM COM <br />t TI PRINTED NAME/COMPANY TIME PRINTED NAME'COMPANY TIME <br />N <br />0 <br />a <br />0 <br />a <br />a <br />x <br />^ AnWIm, Cry <br />x50 E G•n• NrIrY way <br />Huruxn. Cf.9xe05 <br />111+19]!'1 Wy fa 11r119]1~11]0 <br />^ N•Yn•n, Tk(Eml <br />UIO iloAry 6iw <br />NwLpr. TR ))MO <br />^ Nrpn. CO <br />10]0]E 9alnanYPm <br />wrro-a wem19 <br />(]Qll ]SI.1]e0 Fa. 1]WI ]]I 11 e. <br />O NPU•ron,TY IPw1 <br />1110 NgyY POie <br />NouFlm. T,(1]01] <br />^ 61wn, C. <br />41]0$ WLniplOn..e -Suu Ml <br />Loam G9oB1O1M0 <br />Olol sU xOV fv 01015U~Mt5 <br />^ Nwl.ra•Pan..w <br />11x6 Moller flout <br />YIJ rVp01u IN aeMS <br />^ b•P•r. Wv <br />•%(1W in.I Sbeu <br />Gwsr. Wv Sx60r <br />1]0]I 4]5~51•I Fa 00)1 xF-0're]6 <br />o uA•cn.n...u <br />]W 5 9pYa PanwY/ <br />Sbn•. U 10W <br />^ corp.. cnn.u, Tz <br />111N Ppu lfurN GN• <br />cap.. cman. rx ]e.w <br />Islxl 369 d6)] Fa. 1A31 x69 ]V r <br />O VYpa•Iw, IM <br />x.W GrmpeMrtlPM <br />Yapaaa IN.6ID] <br />^ EAI•al W <br />xB. Panrm Lenl•r PeM.ry <br />Ea.:m wme]4 <br />URI IIS 6)Ce fu O]x) xx5dl)1 <br />