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REP12562
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REP12562
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Entry Properties
Last modified
8/24/2016 11:43:14 PM
Creation date
11/27/2007 12:56:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1988112
IBM Index Class Name
Report
Doc Date
4/28/1995
Doc Name
CORE LABORATORIES ANALYTICAL REPORT JOB 932163
Media Type
D
Archive
No
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Page _~. of <br />CORE LABORATORIES <br />E ~m ~~ <br />a_~ <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION PROJECT INFORMATION 00 <br />COMPANY: <br />a Sour~~ PROJECT NAMEMUMBER: <br />1s <br />N `Z <br />Yf/~ <br />SEND REPORT TO: <~ <br />J BILLING INFORMATION y <br />ADDRESS: BILL TO' F <br />Z .1y, <br />~ <br /> ADDRESS U <br />o `~ <br />P ~ <br />LAB JOB NO. <br />2 <br /> W ~ <br />v <br />e~' <br />PHONE PHONE: ~ <br />7 C <br />FA%: Q ? 1 <br />FAX PO NO.: ©~ /SJ~ <br />/ <br />B.WPIE NO SAMPLE ID SDATE STIMEE AUTRI% AINEP TYPE <br />CONT PRES. REMARKS /PRECAUTIONS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SAMPLER GLi SHIPMENT METHOD AIRBILI NO.. <br />REQUIRED TURNARWND' ^ SAME DAY ^ 21 HOURS ^ AS HOURS ~ ~ 72 HOURS ^ SDAYS ^ TO DAYS )~ POUi1NE DTHER <br />. REUNWISHED BY: DATE 2 REONWISMED BY DATE 9 RELINQUISHED BY: GATE <br />SIGNATURE: A/S Y~ SIGNATURE: SIGNATURE'. <br />PRINTED NAMEICOMPAN <br />. /~Colaz. /r! TIME <br />0:30 YA.L PRINTED NAMEICOMPANY. TIME PRINTED NAME/COMPANY. TIME <br />T. RECEYYED BY: DATE 2. RECEIVED BY: DATE 3. RECEIVED BY: DATE <br />SI(NATURE: <br />.~. G fl/F1./'3 SIGNATURE: SIGNATURE: <br />PRINTED NAMEICOMPANY: ^v~ TIM11ZO PRINTED NAMEICOMPANY. TIME PRINTED NAME/COMPANY. TIME <br />RUSH TURNAROUND MAY REQUIRE SURCHARGE <br />^ Arlrx, Gllhmle ^ Lxq Brtll. WBxNe Oxrvx (AUlxel. CabMO ^ Cugr, WYaxYq ^ Neatler4 Teer ^ Moulton, Trr ^ Cxpx CNBetl, Tar ^ laV CNerlr <br />Lauleler <br />1250 E. Gxy AWy WeY J/W Liwry Avxey In0 5 Pdomec A -Sale l00 A20 W W 1tl $btl 10201 WeeBSrr, Btlp I • 62101AmelY Roae IT17 Nxpi Pede Ir]A Or. , <br />OBR Anmr SOM <br />ArWeYn, CeYmr 92805 Long BeerlA hYone 9080] Auxi Cabal m012 Crw, WBmtlq 8801 11anNn, Tew T10{2 Ybwon, Teer ]10)5 Carpe Qnlm, Tsw ]BLOB SupOUr, Louneiu ]0%9 <br />()1i)90)~109i IJI915951W1 170]1 ]51-11BD IJO]12055)al DtJ19]tfi]00 1/1J19e7~9R6 151212W28I9 (91~15BJa92fi <br />
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