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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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~'').l~fN~;~' <br />CORE LABORATORIES, INC. <br />No. 63675 <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION PROJECT INFORMATION O <br />C <br />COMPANY. <br />SEND REPORT T~ R ~ - S NL4/S <br /> <br />A// K ISER PROJECT NAMFJNUMBER <br /> <br /> <br />BILLING INFORMATION ~ <br /> <br />S~ <br />'Z: 1~I_ <br />* 1 Q <br />n ~~ <br />y.~ ~~~1~,` <br />ADDRESS P 0 / ~ / O BILI TO ~ ~ ~. ~{,~~ `, <br />~ <br />1 <br />"M <br /> <br />S /S Co, lls.2 ADDRESS <br />~ 1~2' <br />9 <br />~i <br />.::. °' <br />9 ~ <br />LAB JOB NO. <br /> ~ <br />Qp', ~~ <br />~' <br />~~~ <br />PHONE PHONE ~ ~.'rY'~' <br />~ <br />Fax <br />(7l9~ 67,2- 3.363 FAx: PO No ~. _ <br />~ cP <br />SAMPLE NO. SMWLE~DESCRIPfION ~`4~ <br />;Oq „ SAN'E'LE <br />~~ TIME '~ 2 ~~~ <br />., MATRI% CONTAIN <br />~ <br />. PR <br />R~. <br />z ~ <br />~ <br />G <br />RE ARKS / P AU ONS <br />/ 9608 ,~, ~ o ! e ~ 6 0 9 /S w,f TER P T,' 1 ° <br />~. GoSi ,BM6=o ~ o I G31QOF <br />3 GoBi B~rGo 3 0'S~0 ~ <br /> a / B.~ o .1 d ! I <br />5 Gob/ M /~/o l <br /> 9Go8/ Br,Go6 /~~a I I <br /> <br /> <br /> <br /> <br />SAMPLER <<, v~ I vEz m To SHIPMENT METHOD AIRBILL NO <br />REQUIRED TURNAROUND • ,~ ~~ SAME DAY U 2a HOUR$ ^ 4B HOURS I ~ 7Z HOURS [ ~ 5 DAY$ C ~ t0 DAY$ [] ROUTINE OTHER <br />I. RELINON D Bv: DATE , REUNCUISHED Ya DATE 7.RELINCUISHED Bw DaTE <br />SIG U Og/,u/(~! <br />/b SIGNATURE' SIGNATURE: <br />PRP TE~AMFIC~P NY. N ~ ' <br />11 T' OQ PRINTED NAMbCQNPANY: TIME PRINTED NAME/COMPANY TIME <br />I. RECEIVED Y DAT '1. RECEVED BY: ". r : ; 3 - DATE 3:RECEIVED BY DATE <br />TUR i6 9~ <br />/ SIGNATURE: SIGNATURE: <br />RINTE NAMEICOMPANY PRINTED NAME/COMPANY TIME PRINTED NAME/COMPANY' TIME <br />a <br />z <br />U <br />s <br />S <br />0 <br />0 <br />z <br />a <br />a <br />N <br />a <br />^ MNNm. G <br />450 E. Gm.Wry Wey <br />MenMm.U Y3B05 <br />Pb) 4l].ILp Fu (]u) pJ).I I]0 <br />^ ~INPI~FyIL TI(N0~'1 <br />HyNTyTeMyTA)S <br />(]IJI aJYY13 FY (]IJ) MJdMO <br />fo]~m EB.IINry GMe <br />aume. CO EmIE <br />f~ml ]sf.I>m Fa f]I)%]61~t]M <br />^ InaEm~ell., Ix <br />)]]S Ndlr lletl <br />YNleripdb,IN NC® <br />fJln El3dEW Fu ptn E>'tdlY <br />~'~p~ 1YY <br />W W. Fl~N SM <br />wy eml <br />Im E]YS]eI FU (m~3EE~tE]E <br />I~NW TR <br />~ ~ P•w.IN.ia G.... <br />UM'T%]EeL'E <br />(sl 3p~aTJ Fu P131364N]t <br />p f.Ee cn.Nl•.u <br />]W BgIF PerMY <br />~ ~ ^ ~Iy a..,lau <br />]]m tllNrl'Ar~vw <br />Elbu. <br />. ]OSS] <br />ISIQM1WYtO FU (]IEIStlyERp lop B~U~GCV] <br />~ gEEEdEOf FY of%EtldlYe <br />ORIGINAL <br />^ EClem,]LI <br />ZEe RerM fwms PeM1rey <br />ENVY. 1Y OSNI <br />(Wq tLd]m fu IEOEI Ead]T) <br />^ TemPa FL <br />ylO l]~Illmlll Glilw &A. <br />T FL 3MN <br />(EIS E4EaE Fu (FIJI Sd' ~FJS <br />^ NwNen, T%yIEnVI <br />Ma ~ilen 1%]]WOe <br />pIJI EEp~4M Fu (]t]I EYJSEN <br />^ v.IPNNee,IN <br />xEm Izmem.m Ilene <br />
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