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HYDRO31423
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HYDRO31423
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Entry Properties
Last modified
8/24/2016 8:55:07 PM
Creation date
11/21/2007 1:43:53 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980233
IBM Index Class Name
Hydrology
Doc Date
11/30/1998
Doc Name
ANALYTICAL REPORT
Media Type
D
Archive
No
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ii'~~i~~JA~~~~m. <br />CORE LABORA70RIES, INC. <br /> <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER_INFORMATION <br />` ;..RRO~E4TJNFORMATION <br />~ O <br />O <br />COMPANY <br />.. P0.0JECT <br />NAMEMUMBER'. `, ~ <br />rn ~ <br />~ 1• ~ <br />~ <br />SEND REP„ BILLING INFORMATION .z' ., ~~ ~' ~ N ~ <br /> <br />ADDRES _ <br /> <br />BILL TO <br />4 .~~ <br /> <br />F <br />~~Oa ~ <br /> <br /> <br />(w <br />1 <br />ADDRESS <br />~ <br />~ <br />~ Y <br />~~. ~ ~ <br />LAB JOB NO. <br /> L ~ <br />Y ~/ <br />~ ~r/~ --}7 <br />~ <br />ooU <br />PHONE <br />a O PHONE: 'm. '- ~y~ <br />YJ <br />~ ~/ <br />FA% ~ a <br />= a q ~ FA <br />% PO NO Z ~~ ~ <br />~ 'l` 1 ' <br />•s~ C>'- <br />SPNPLE NO.. <BAA9LE PESCliIPTION i 5 <br />p~,p <br />3. F ' ~ .~ <br />, ~ E a. LE <br />~x <br />," <br />t QONfAINER <br />; , „ ,, RRESEflV.- .., , ~ ~ REMARKS /PRECAUTIONS <br />1 W 1 IL~ ~~ 11 <br />' <br />W <br />~ 1 Z ~; ~ W <br /> w <br /> O MvJ <br /> <br /> <br /> ^~ ~~ <br /> Fi ~~ ~ e <br /> rr a ~~ ~z <br /> /`/~ <br />SAMPLER SHIPMENT METHOD (. .'J DL-Ya`/tt+ <br />_ AIRBILL NO Y <br />REQUIRED TURNAROUND • ' i SAME DAV ! ~ 24 HOURS ~. dB HOURS 1172 HOURS ~ ] S DAYS <br />~ ~~ 10 DAYS ROUTINE OTHER <br />I. RELI ISHED BY: '. r GATE .2: RELINCUISHE DATE 5 RELMl0U1SHE0 BY. DATE <br />G RE / <br />( I/ VJ ~Q SIGNATURE. SIGNATURE <br />Y. <br />F~[1 ED NAM C <br />C <br />1. ECEIVED BY' <br />SIGNATURE <br /> <br />`ice ' r. :+ - - <br /> <br />~ <br /> <br />~ T` E <br />j/ <br />DATE <br /> <br /> <br />~-a~S PRINTED NAMFJLOMPANY <br /> <br />-2r7iEC VEfEBY: t ' <br /> <br />SIGNATURE <br /> <br />- TIME <br /> <br />DATE PRINTED NAME/COMPANY <br /> <br />.RECEIVED 0Y: <br /> <br />SIGNATURE. TIME <br /> <br /> <br />DaTE <br />PRINTED N COMPAN i ~ _ ~e T/~ ~ PRINTED NAME/GOMPANV: TIME PRINTED NAME/COMPANY TIME <br />N <br />J <br />0 <br />a <br />i <br />0 <br />z <br />a <br />•~ <br />x <br />r <br />^ An.nalm. G <br />1350E Gene AuVy Way <br />Mareim. G B3B05 <br />(]1a18]I-IOW Fu (r1a19]] IIrO <br />Q Mowmn. Tll lEna) <br />6110 PoTway Onra <br />1buYen. Tl>rpap <br />1)IJI 890 W a Faa 1]I]I B80''bB <br />C7 Aumn,cD <br />10]0.1 E. bNUry Dme <br />a.1va. CA e6Bta <br />PNI rs+.vfio Fu (']05 r5bO6a <br />^ lbuabn. TY1Rq <br />B31G MaYp flotl <br />Xaualm. Tl( )]Or5 <br />PI]19a] 9)iB Gu (r1]19U']Ba0 <br />^ Graon, G <br />31 TJ0 5 N51niYgbl An. -Suva At <br />Gnon.G90H1616a0 <br />1]IO) 51] ]RII Fv 1]10151]~:V.IS <br />^ IMbnaptlla, M <br />))3B Moyn PoM <br />IMiyiapaf IN aB)6B <br />p VI B)S`il9. Fu I] V) Br38+69 <br />o C+.vw, wr <br />a10 W. FuM SM1 <br />GVe1. WY B3F111 <br />1]0)13955ra1 Fa ppr1368~18>B <br />^ lYa Clwlw,U <br />]Bas Bapua valtway <br />suwl„1. u )a6w <br />p+6\ 5611938 FY (]IB) SB'1-a-Y9 <br />^ cavua L'BNB. rx <br />I)1]M gGie lyyq Dma <br />Caws cNMn. rx re.B9 <br />(SR13B936)] F4 15 41 369 301 <br />^ Valparalw.IN <br />rm c.munno Dma <br />Vilp4uap.IN a6]B] <br />13191 ba 3]89 Fa. 13+91 a63~395] <br />^ ECIwn, ILl <br />sDa Fsnan Gmn Pakway <br />Eo~Mn wm61r <br />N131715 6IC0 Fy I (]31335 Err) <br /> <br />
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