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REP19119
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REP19119
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Entry Properties
Last modified
8/24/2016 11:47:53 PM
Creation date
11/27/2007 2:33:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1988112
IBM Index Class Name
Report
Doc Date
7/15/1993
Doc Name
MEMO SUMMARY REPORT FOR APRIL 1993 THIRD-PARTY MONITORING TRIP
From
HAGLER BAILLY INC
To
DMG
Media Type
D
Archive
No
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"~1~ CORE LABORATORIES <br />1Neetern Atlee <br />Internetbnel <br />raye ul <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION PROJECT INFORMATION ~O <br />COMPANY ~~ 1 ~ ~~ ` PROTECT NAM FJNUMBER ~.2` J <br />~ <br />SEND REPORT TO <br />1y( ~j <br />BILLING INFORMATION <br />Z !~~ <br />~~ V <br />~ <br />/DDRESS p L <br />~~J ~ ~ 2~7 BILL TO <br />~"~.yY~/ Q <br />= Br,A~ <br />y J vJ <br />y ~ <br />~ <br />~~ ~;/ ADDRESS ~ ~ N <br />Q ~ <br />~~ <br />~ LAB JOB NO. <br />~ Q ~ <br />~ <br />~ ~ <br />~ <br />PHONE. ~~.- ~ _ ~ ~ <br />~( <br />• PHONE' ~ ~ - - "' "' <br />I <br />Fq% <br />a~1",-(7 <br />_ ~ (/ 3.- ~~ JY <br />~ r <br />[J FA%. PO NO . Z ~ O <br />SAMPLE NO SAMPLE ID SDATEE ST MELE ygiR% CONTAINER TYPE PRES. REMARKS! PRECAUTIONS <br />~ /<Cr - l ~C z8 ~f /3c~ l!~ 1L 1, D/f / J( <br /> ,~(~ -! Gi 3 /3c. (~ 2Q XiDa~ l N ( X S = ~d ~ ~u ~+ <br />~ ~~. ~ ~ L< 2~ ~~~ n~ ~~DRI.P i 5 <br /> ~'-c' - 2ct ~~~i3 l~ls K2~ ~` i ,v~a1 ~ x <br />3 ,C -- 2-G' ~~ ~_ i is ~ /~, l vK <br />z ~~ <br />'~ .> <br />IYlS <br />2d <br />~OrNE <br />/ <br />N/UZt <br />' <br /> - Z Zg' 3 (S SrOn~O ,i KIll~ l <br />z C - 7Ll 9~ rYIS~ 20 ~~ l c <br /> ,ACC - 2-F~ ~ z8 ! ~ 2~ 1 ~ I <br /> 3 13' N2~ iL 1 <br />SAMPLER ' / ~ (f ~ <br />M <br />~ <br />~ SHIPMENT METHOD: gIRBILL NO.. <br />SA <br />ME <br />DAY (~ 2d HOURS <br />REQUIRED TURNAROUND' ~ ^ dB HWRS I 1 T2 HOURS ~~ S DAYS ^ 10 DAYS ^ ROUTINE OTHER <br />1. RELINOU D BY. DATE 2. RELINQUISHED BY . DATE B RElINOUISHED BY: DATE <br />SIGNAT R n ~^ m~~ z I <br />( SIGNATURE: SIGNATURE: <br />PRINTf,Q OANANY'~j - n Pnr r}{ <br />C / 1 ~' µ-/L6 ry <br />O <br />O fR M7fD NAMEICOM PAN9 TIME PRINTED NAMEICOMPANY TIME <br />I. RECEIVED BY: DATE 2. RECEIVED BY: DATE 3. RECEIVED BY: DATE <br />SIGN /rid d B• / a <br />`A ~~ ~/ZG_j! SIGNATURE SIGNATURE <br />PRINTED NAME/COMPANY. ~ <br />~ L 7 TIE1z ~, <br />L PRINTED NAMEICOMPANY' TIME PRINTED NAMECOMPANY' TIME <br />• RUSH 7URNAROUND MAY REQUIRE SURCHARGE <br />^ AnAM1elm, CAUlpmb ^ Long Beun, CA1110m1A <br /> <br />1250E Gene Awry Way J]00 GBerry Arenue <br />AnaM1eim. [alilOrna 92405 lnrg BOaU Calilpmm 9040] <br />(t1A193]~sp9d 1710199$ Bd01 <br />^ Oxsvw IAwmq. COIpnBO ^ <br /> <br />1]00 5 POIOmdC 51 ~ Sane q0 <br />Amara fi010rddp 00012 <br />OOJI ]56 VBO <br />Cnplr, WTOminp <br /> <br />d20 Wea Isr 5vler <br />Casper. W]pming 0260r <br />1]0]I 2JS9el <br />ORIGI <br />^ Houston, Tun <br /> <br />10401 Weslnelmer BNq I <br />HpuLOn, i0vas ]TOdi <br />111 ]I 9]2d]00 <br />NAL <br />^ Xounon. Tem <br />^ Coryu CM1rlAtl, Tem <br />d 0210 MpseM Rad I]J0 NpnM1 Padre kprtl Or <br />HOUSIOO, Tnas 1]WS Carpus Cnnsu leraz ]Ba08 <br />1]gI9U 9I]6 15121289]61] <br /> <br />^ Gib CAAHe.lpulllem <br />76AS Anema 511pM <br />5upnur, Lemsuna ]066] <br />IJlfil .`b]d926 <br /> <br />
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