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REP05705
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REP05705
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Entry Properties
Last modified
8/24/2016 11:36:29 PM
Creation date
11/26/2007 11:09:33 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977410
IBM Index Class Name
Report
Doc Date
8/29/1994
Doc Name
QUALITY CONTROL REPORT
Media Type
D
Archive
No
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r~.~ <br />WESTERN <br />ATLAS <br />CORE LABORATORIES <br />No. U1~sIlU <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION PROJECT INFORMATION ~O <br />COMPNIY N ~ ~ ^ ' <br />~/~/1 PRQIECi NAMEINUMBER y ~Z' <br />(V <br />SEND REPORT TO <br />Tf'f"~1T1 n/ I CS <br />BILLING INFORMATION ¢ ~ <br />y <br />~ <br />ADDRESS' Blll 70 F y OJ <br />~ <br /> ADDRESS ~ v Q <br />LAB JOB NO. <br />_ <br /> O <br />w ~ <br />~: <br />°~~~:. R X801 <br />PHONE. PHONE. ~ <br />'~ :.. ~i <br />>!' :T <br />FA%: FA%: PO NO. Z' <br />SAMPLE NO. SAAIPIE ID al <br />' ~; ia7??,? •. SAMPLE <br />DATE ~,: " SAMPLE <br />TIME SAMPLE <br />MATRUf CONTAINEfl ttPE PRES. <br />AEIV~{1RKS / PRECAUTIQNS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SAMPLER SHIPMENT METHOD. AIRBIIL NO . <br />REQUIRED TURNAROUND' I I SAME OAY ^ 29 HOI/RS ^ /8 /BA1R5 I J 11 HOURS C l 5 DAYS I 110 DAYS L I ROUTINE OTHER <br /> <br />' <br />~ DATE 2. REIINLY115HED BY: OATS 7 RELINWISHED RY. DATE <br />SIGNATURE <br />V / /~ <br />lD` SIGNATURE: <br />1 clL_.NATIIRF' <br />PRINTED N MPA Y \ A I <br />Y I ! a'L <br />1. RECEIVE BY: <br />SIGNA q ~ +{~ <br />T/ T,N1~ ~ <br />1 <br />DATE <br />V~ PRINTED N ~~ <br /> <br />Z. RECEI n <br />SIGNATURE y~ <br />1 .' RME <br /> <br />DATE <br />9 PRINTED NAMHCOMPANY. <br /> <br />9. RECEIVED BY: <br />SIGNATURE. TIME <br /> <br />DATE <br />PRINTED E/COMPANY: ] ~ ~ <br />/ PRINTED NAMEICOMP r.~ ~ <br />wr(~-G %~, PRINTED NAMEICOMPANY' TIME <br />• RUSH TURNAROUND MAY REQUIRE SURCHARGE <br /> <br />^ Amhirn, Glilomu <br />^ lgnl Bewh, GAlnrnu <br />^ Dee.w IAUranl, Csbnda <br />^ Gyw, WYnmioq <br />^ Heun9n, Tnn <br />^ C9rryv Chrini, Toe ff~~ <br />LI Llta CMrln Leuiviaa <br />1150 E. Gene AnrY WaY 7700 Chrny Aranue 10707 E. BuhanY Oriw 110 wen In buerl 8710 Ypnly PpaO 1177 Npnn Padre Nand Dun 7615 Bgliv pntway <br />Aiunum, La619mu 91808 long Beacn. Glilpmia 90801 Awpn. Colorado 80019 Gvper, Wypminq B7fiD1 Hpuuon, Tem 110/6 Corpn [nurti,Lm ]8908 6ulppm, L9u11YW 10667 <br />p p1g111094 1]IW 595-0101 110711511180 1J0/1179~61/1 Uf]19179116 15171189761] D1BI6B7J916 <br />181101 x097611 IBBBI BI9 ].l] 180019)11E4 18001666060] 18(1011Jn 1017 180015a68RB 180011597916 <br />
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