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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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'~j~i"~v <br />CORE LABORATORIES, INC. <br />No. 6367.4 <br />CHAIN OF CUSTODY RECORD <br />~ CUSTOMER INFORMATION <br />~ COMPANP ~A ~~ _ ~ I , .) ~ <br />IV V <br />K <br />`,~~) :, $ ~`R ~~ NFORM. ~ 0 ' ~ .~ <br />PROJECT NAMEINUMBER "' <br />, <br />n <br />SEND REPORT TO <br />~ <br />~ 1/ n <br />~~ <br />I <br />W <br />•l BILLING INFORMATION <br />ADDRESS <br />• <br />O <br />` ~ <br />' <br />h <br />I/ BILL TO ~' 1 , - „ <br />iW~/1~ <br />~ <br />/, <br />~ , <br />1 1 I <br />~~InN Y l.V%~ /TA <br />1 <br />~J l~~~ <br />l..ll D ADDRESS . <br />LAB JOB NO. <br /> <br /> <br />PHONE' ..T~ ~ ~ <br />( <br />~ <br /> <br />- ~ <br /> <br />PHONE. .~ Q <br /> <br /> <br />~ e <br />~~. <br />q~Zo~ <br />FA% ~T 1 ~ <br />~ <br />^ .lam ~ <br />/~ <br />d FA%' PO NO' ~ ' <br />~~ <br />~ ~~ <br />SAMPLE NO. SMAP <br />iE oESCRIarION T .",o;~EE','" ~_ ~~=~~. . .'.~ ".~ ~ <br />~ REMARKS /PRECAUTIONS <br />~ ~f(c0 ~l$ bl 71a qb Il1D 7- a <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 3~% .,.~ ,. <br />~ ~ <br />SAMPLER 1J M~yl ~ ~ ~ ~~,~/` SNIPMENT METHOD' AIRBILL NO : ~J~"~. <br />REQUIRED TURNAROUND • r~ SAME DAY ^ 2d HOURB ^ d8 HOURS ^ 72 HOURS ~ ~ 5 DAYS ^ 10 DAYS ^ ROUTINE OTHER <br />I. I HED BY. ~ DA]rE <br />II CDISHE08 ~- - ra " ~ _ - ~ ++ ~ ° DATE ~3_RELINWISHED BP GATE <br />SIGN i ~ ,-., <br />_ <br />"'""'~,r, <br />7C~t{'~ <br />`IIII :I SIGNATURE SIGNATURE' <br />PRIIITE NA ~_ V4/NU~ h <br />T~ <br />V Pf11NTED NAMFICOMPANV. <br />I TIME PRINTED NAMEICOMPANY TIME <br />t. RECEIVE BY: DA E '~Y. REC VED BV: - <br />' DATE 3' ECEI D BY:''~ DATE <br />GNATUR ~ ~ SIGNATURE: . <br />~ SIGNATURE. <br />PRINT 0 AMFJCOMPANY ~ r IME _ PRINTED NAMFICOMPANY. ~ TIME PRINTED NAMFICOMPANV TIME <br />a <br />i <br />v. <br />c <br />a <br />s <br />a <br />a <br />6 <br />z <br />a <br />r <br />1]50EO.» VIFy <br />,w14m.G p]e0d <br />nlq mh10w Fu nul m).n10 <br />^ NPNNN4Tl((0.0 <br />RIOMWFy IVmd <br />Naem. T%lA]S <br />nl]) pNaaT,e Fu nl>) W.IIM <br />AumA W <br />O)m E. 9e]ie,M pM <br />• ~eml. <br />f>al)151-Im Fn pm) AI-lln <br />Q IMWyp11N IN <br />113E Wlr limp <br />IrF11~,gHI,,IN.mee <br />pl n elsesp w pln malty <br />°. UO VI <br />kYM BtlM ° <br />~ <br />a <br />Nn bW °: ~NYIM Cri1v FN'.ry <br />. <br />Capes V/Y eimt <br />"(1011 m6p1~5 F~ pOn pMtptt IT31N P <br />tl <br />q PMF <br />GM.TY>p,01 ~~ EUeon. NJ IYNI <br />~ (mpl ]A!]m Fu ryml ]]Sdnl <br /> l~ ]i]ell <br />.. 101 iIF]]IJ FO p ~ <br />;~ p'~al.l. <br />u ~ ' _ <br />O ~+y e.s(i G~ <br />~ ~ O~TevrrR <br />~ <br />bp,yyYy <br />I <br />U TMea <br />d 1100 OIFrry AVFMw. <br />'G eoml' <br />l <br />B <br />tl eem erFllap c.n. FM. <br />T FL me]p <br />Ur. <br />¢ <br />^ vq <br />~ <br />. <br />~ e <br />' <br />ptq ee]+uwPlgawmY .ptgeeeaa1wP10)lTatle pl]e <br />~cee FU (el]I ee <br />Npae <br /> ORIGINAL <br />^ NglMpn, T]IEIM <br />mlo Navr«.y om. <br />HanIm.TN IIDW ' <br />oral CW 4M. Fu nlal ep65M0 <br />V,IpFnNa.IN <br />Np0 CIFnb~W,O PM . <br />VYpvYeO.IN b]O <br />(]tpl b4]]m Fu ptp).eS'd0.1 <br />
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