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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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~7,~~n~. <br />CORE LABORATORIES, INC. <br />No. 48767 <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION . ~' <br />COMPANY. ~ <br />R r~SA// LN I PROTECT NAMFMUMBEfl: O ~Q <br />e <br />SEND REPORT TO Sfl /l K l S E BIWNG INFORMATION <br />ADDRESS ~ BILL TO SAM E <br />A/ L ADORE55: ~ LAB JOB NO. <br /> ~ <br />4~z393 <br />PHONE / ~ y_ /~ ~ ~ ~ / PHONE: ~`r <br />O <br />EA«: t 9 G~~ -336 <br />WALE NO. S^APLE DE6CAIPTION <br />,; FA% PO NO.'. <br />1. ~~ :~•,: -; .•~~. <br />„ ~ <br />L . ~iEf~ARKS~/~PRECAU OILS <br />/ 96a8~frgir/G o 1 8s8 yb /ono w rE /ASr,'c 1 1 v.,' ° <br />,2 `Jbo8~88MGa,3 o3S l .~.°~' <br /> 96088 MGo //oo ~ I <br /> 6 0 8 28 MG O !?D ( ~ <br />S 96 oPJ~Bn~GO6 /a73o l <br />~ 6o8=BBMGo /~ 0 1 <br /> <br /> <br /> <br /> <br />SAMPLEfl T /NOr/To /~ SHIPMENT METHOD: AIflNILL NO: <br />REQUIRED TURNAROUND.' SAME DAV 7e HOURS ~IBHWRS I RHOURS ISDAYS ) IIO DAY$ I (ROUTINE OTHER <br />i RELOa]UIBHEO BY: DATE B9: 2 J ' '' '~. ' DATE Y'c GATE <br />NA <br />' p/j~/q/ <br />/b SIGNATURE: SIGNATURE: <br />PRINTE NAME/C P,~: <br />~ ~ <br />I. RECEI BY'- ~ ~ 3 <br />TU : TI <br />D TE <br />N <br />7v PriIMIED NAYECOI~M7Y~ <br />- " <br />SIGNATURE: TIME <br />DATE PRINTED NAMEKAMPANY <br />~ `~ `` <br />SIGNATURE: TIME <br />DATE <br />PRIHTE NAMEICOMPANY. ME PHWIED NAYE,C01a'ANY' TIME PRINTED NAMErC0A1PANY TIME <br />R <br />RUSH TURNAROUND MAY REQUIRE SURCH <br />A <br />GE <br />^ An.nmm, Glaernm ~~~ <br />... <br />((( <br />,BSI Aurem 1o.nrnl, c.l.r.eo ^ 4rYm.llf~ry <br />1750 E Gme Auuv W.v / 1010] E Bn M1.nv Dine e70 Wm Im Srrur <br />Aunelm.OfilDln~i 97805 Aurora, Colomtlo 80018 Gwm. WYOmiq 67601 <br />11161971 1098 1]OI1151~1180 170717854781 <br />1900180e~7611 18001917761] 16001661-0706 <br />^ Cmr. CYm, Tua <br />nv x.nn nar, Imna Onre <br />Umu CArini, Tm, 78109 <br />RI717pa617 <br />level sua77e <br />ORIGINAL <br />^ Nuvr., Anm ^ L.b CMYa, luerr. <br />9710 Yathy PoM 7615886, Arbry <br />Neuvon, T.ur 17075 Sugnur, LODUau 10667 <br />D17198)9116 OIe1587a976 <br />180017]8761] 18001 7 59 89 76 <br />^ L.y pie, GObni, <br />1100 Cnmry Avnue <br />Larq Boo8.651urm.9D807 <br />1]1015958101 <br />IB001 B I e.]a77 <br />
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