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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 />11Veftern AClaf <br />Internatlonel <br />r .,yam ~r <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION PROJECT INFORMATION 00 <br />COMPANY. - <br />~z (~r ~a~71 ~ PROJECT NAMEMUMBEP <br />~~ <br />~ ~ ~' <br /> ~, ~ <br />SEND REPORT TO /' <br />111 M,CI-i2 .S <br />BILLING INFOR <br />MATION <br />= <br />~~ <br />ADDRESS BILL TO F ~OJ <br />~ ~ '~ <br /> ADDRESS U v Q <br />~ <br />~ (~ <br />LAB JOB NO. <br /> o Q ~ ~ <br />~ <br />~ <br />PHONE PHONE m <br />~ / <br />b M <br />- <br />a <br />FA%' FAX PO NO' _ <br />SAMPLE NO SAMPLE ID SpATEE T <br />S <br />MEE MATRI <br />X C <br />N <br />T <br />A <br />I <br />N <br />R <br />TYPE <br />O <br />E PRES. REMARKS (PRECAUTIONS <br /> ~'~c r' /J Ul Glp ~ ~~ <br />] <br />I <br />~ .,I <br />1/ / <br />Y- <br />~I <br />// <br />y <br />1 <br />l <br />~ <br />~ I U <br /> JT. L J`~""`C II <br />~ (ECG - S~ 2 ~ 1 _~ z'~ 51~mP I NJiJ~ ( <br /> _ ~~ z 9> IS'~( a 2SL~ <br /> G ~ ~~~ ~~ 5' ( ~ ~ <br />l H~~ 1 ~ <br />k ~ <br /> z- Z~ <br /> <br /> C - (v Cl ~ ~3 !d 3C ~ z ~' !~'U ( (~tirl'~ I <br /> <br />Jo C . - Lt z ty ~ui5 z~ ll-, I <br /> tZ~ -~ z 9 3 I" (n.11 h2'Dt+.P ~ 1 o t (o_L~elart u l <br />O C- 2 t53 0 -~ ~ 2~-n~ t <br />SAMPLER 7~ 1 ~~ SHIPMENT METHOD AIRBILI NO.: <br />REQUIRED TURNAROUND.' I ~ SAME DAY U 2d HOURS [ i dg HOURS ~-~ T2 HOURS ^ 5 DAYS ^ 10 DAYS ^ ROUTINE OTHER <br />I. RELINO M D BY: DATE 1. RELINQUISHED BV. DATE 3 RELINQUISHED BY: DAZE <br />SIGNAT A l /,V ~' S Iq Z SIGNATURE SIGNATURE' <br />'Lb 2 <br />/(l.J <br />RINTEQ ~J~ .f' E~`v tv <br />/' ,i TP{E~~n <br />v <br />~ <br />s <br />CC~...' PRINTED N4MFJCOMPANV TIME PRINTED NAMEJCOMPANY TIME <br />i. RECEIVED BV: <br />SIGNAT i <br />DA <br />E <br />//1/' Y RECEIVED BY. <br />SIGNATURE DATE J. RECEIVED BV: <br />SIGNATURE DATE <br />~ ~ <br /> , <br />PRINTED NAME/COMPA <br />~ '/i <br />~" l'~, <br />. iIME~; _I <br />1 PRINTER NAM1IE/C OMPANV TIME PRINTED NAME/COMPANY. TIME <br /> / l c <br />, <br />RUSH TURNAROUND MAV REQUIRE SURCHARGE <br />^ Anellelm, Ctlllomle ^ Lang B<e[6, Calllornn ^ Benvv IAUronl. LoloreEO ^ Cesper, WYOmi rg ^ Houelon, less ^ HOVelon, Tene ^ Corprrf Cnneli, Tuu ^ Leb Ceerln <br />Loultlene <br />1150E Genc Awry Way Y00 Cherry Avenue <br />AnaM1em, Caldomla 92805 long BeeN. Lalilom~a 90801 1]00 S PoIdIVC SI hone q0 <br />Aurora. Cabra6o 00012 110 West Isl Sueel <br />Gasps Wynmmg 81601 10101 Womeimer. Bbg LA <br />xou9gn. Tesas ))011 0P0 Mosely Roao <br />Houmon, ie.as DOTS n3J xanM1 Patlrt 14aM Os <br />[aryus Lnnsll, ie.as )8100 , <br />JN5 Ancona SaeN <br />Supnw Lv~sana 1066] <br />p 11193Lt091 1]101596&01 130]1 )St vBO 00)12]56)u p1J19)2~6100 111 ]191Y9)16 16111189~16)J <br />IJlfil sA}1916 <br /> ORIGIN .e L <br /> <br />
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