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REP28781
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REP28781
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Entry Properties
Last modified
8/24/2016 11:59:21 PM
Creation date
11/27/2007 5:09:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1988112
IBM Index Class Name
Report
Doc Date
2/20/1997
Doc Name
CHAIN OF CUSTODY RECORD
Media Type
D
Archive
No
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'),I~~~~ <br />CORE LABORATORIES, INC. <br />No. 4878 <br />CHAIN OF CUSTODY RECORD _ <br />a CUSTOMER INFORMATION a . ~~~' ' <br />~ <br />M <br />COMPANY: ~~ . _ C <br />V PR0.IECT NAMEMUMBER: ' <br />~ <br />SEND REPORT TO ( BILLING INFORMATION o <br />ADDRESS ~^' ' <br />(J O ~ l o BILL TO. C ~y~ <br />v <br /> V ADDRES$ ~ LAB JOB NO. <br /> ~F)9a <br />PHONE: PHONE: O <br />FA% FAX PO NO / <br />SMIPLE HO. SgMPLE DE9CAIPTION t . _ LSE •: :;saAP~'r ,~ ~R 'y'~ REMARKS/PRECAUTIONS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SAMPL ~ ~ ,Ll SHIPMENT METHOD AIRBILL NO.: <br />REQUIRED TURNAROUND' ~ ~ SAME DAY ~ ~ 21 HOURS ^ /9 HWRS ^ 72 HOURS C 15 DAYS ^ 10 DAYS ^ ROUTINE OTHER <br />1 R LINOUISHEO BY: 3 OA E ELINOUISREO'B : = ? ~9 n °-' d' Y' + * r GATE ED BY:- ` DATE <br />IGN `~ `~ 2 - SIGNATURE: SIGNATURE: <br />PRIII ' OM •` C <br />J ~ PRINTED NAMEICOMPANV: TIME PRINTED NAME~COMPANV: TIME <br />t. RECEIVED BY: DATE ECEIVED BYr " - DATE 3'RECEIYED9 f DATE <br />SIGNATURE. ~,/ <br />7 SIGNATURE: SIGNATURE: <br />PRINTED NAMEICOMPANY~ iIME_ PRINTED NAMFJCOMPANY. TIME PRINTED NAMEICOMPANY. TIME <br />G <br />HUSH TURNAROUND MAY REQUIRE SURCHARGE <br />^giwhaim hldu.nu uron 101nrn1, Celuda ^CWU,WYlminp <br />1350 E Gene quVy Way lOJ E. 9eminv Ouv1 130 Wat In 9tnn <br />giunum. Ghlurnu 97605 Aumr1, LOIOad080011 ~Gtpu, WYpminp 87fi01 <br />1111197] 1091 17071 )51~t 180 1707137667/1 <br />19DDI ID1361] IB001917~761] IB001666~0706 <br />^ Gqm Chtlnl, Tvn <br />17]7 Nonh P,dn III1nd Oriv1 <br />[prpn Lnrini. Tuu 78dOB <br />161717B9dfi77 <br />IeDm slea77e <br />ORIGINAL <br />^ Meu,lon, Tue ^ ld1 CWY1, lreirn <br />9710 Mptlry R01d 7F6 Bepln P1r6w1y <br />Hpurton, Tun 77075 Subhur. Loumna 1066] <br />171 ]19/J~9176 17191593 X936 <br />IBD01171 7617 1/001759 g97fi <br />^ Lr, Brd+, G01ani1 <br />]100 [nerr Avenul <br />Lanp Bach. Ghtornn 90801 <br />1]1019958/01 <br />1800181/ J.7J <br />
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