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~~19] <br />CORE LABORATORIES, INC. <br />No. 48763 <br />CHAIN OF CUSTODY RECORD <br />'" CUSTOMEAINFORMATION <br /> <br />y <br /> <br />~ <br />w' ~ <br />COMPANY. ~j _ ~ C <br />J PRQIECT NNIEMUMBER: ~ V/J ~ ~ ~0 <br />~ <br />O` <br />SEND REPORT T0: ~ (~ <br />~ \~' y/' ~~,~J~• ~QRMATION ~~' <br />ADDRESS ~ ~ I ~ BILL T0: ~` ~' <br />~ <br />y <br />c5o~.~ L_.U--~S ~II~ DRESS: ~ <br />~ ~ <br />LAB JOB NO. <br />PRDt~/I ~ ~' ~07 -]--_ / / ` <br />F ~~(( / ~ 1 ~- 33 ~3 f--ITy: J <br /> <br />SMTIE N0. SAAPLE DFSCFIIPf1ON PHONE: <br />FA%: PO NO.. <br />,~~ « - ~ <br />~, v (,y ~ ` O <br />F' _ ~/IV ~ _ <br />V <br />~° ~ x~REMARKS /sPRECAUTJONS <br /> o~ a dm o ~ / ~ o ss - ~~ ~ ~, <br /> ~ -s •sb,~o <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SAMPLE ~~ ~ ~L rv ~-~~ SHIPMENT METHOD AIRBILL NO <br />REQUIRED iURNAflOUND" ~ I SAME DAV 7a HOURS Y HWRS I R HOURS S DAYS 10 DAYS I ROUTINE OTHER <br />1. RELIKOUISHED BY' RRAITE S2. NOIILSFIED ~: d 5 '~ A =° a.E.~ DATE 3 RELINWISHEO BY: DATE <br />GN c~ 'X T ~' <br />VV SIGNATURE; SIGNATURE: <br />P(,i~l DNA~~PANY <br />L RECEIVE BY. Y <br />NAN ~~~']1 <br />D E C/ <br />ly 6 PWNIED NAMEICOMPANY: <br />- ~ <br />S877AlURE: TIME <br />DATE PRINTED NAME7COMPANV <br />VE <br />SIGNATURE: TIME <br />DATE <br />PRINTED NAMEIGOMPANY ~ TIME PRINTED NAN6COYPANY: TIME PRIHIED NAMEICOMPANY: TIME <br />RUSH TURNAROUND MAY REQUIRE $URCHARG <br />^ An,hum, Cdi7urnu ' Aur,n IOmrvl, Calarudu <br />1750 E Gene AuVy WaY 10107 E. Betn,ny Onre <br />Aruheim. Glilornw 97805 Aurar., Lalar,tlo BOOle <br />O1a1971 109 1703116 LI IB0 <br />IB001908~7617 18001917 7617 <br />^ Cyv, Iry~:1 ^ C.„u, Chrivi, Taa <br />e701/m Iv 9rm 1777 Nanh Aen I,I,ne Ohre <br />4pv, WYVmnq 17®1 L•rom cnr~ni, re.,, 7ebe <br />17071775 SIAI 61717991617 <br />0001666-0]K IBOOI S68d778 <br />r'1 M.unnw, T,m ^ l,b [hnb, leuiriau <br />8710 Mo,lry Ro.a 7H5 Bryln Pu Lway <br />Haunan, Tea, 11075 Subhm. LOU.xana 10667 <br />01719A7~9716 17111587J976 <br />11001171617 18001759 ~97fi <br />^ Lon, B,eh, Cdilerniu <br />1/00 CnvrY Avenue <br />Lonq Be>cn, pnlornn 90801 <br />17101595 Be01 <br />IB001 B I a 7.77 <br />nRICIN01 <br />