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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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~~:11Ii~ <br />CORE LABORATORIES, INC. <br />No. 48312 <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION ~ s 3 ` 'PRO ~T~1NFQ9MA; Q ~ :~ { ' r' e' ~~ ~ <br />COMPANY <br />` PROTECT ryAMEMUMBER /~~' <br />L~ /`~, <br />SEND REPORT T0. ~ E~ BILLING INFORMATION \ ~ <br />ADDRESS <br />8~ O BILL TO ~ ~ 0 <br />tl <br />S// /V .~ LIIS COi ~ Z ADDRE$$ LA <br />B J <br />O <br />B <br />NO. <br />PHONE / ~ a - 2 / <br />b PHONE ` m ``y <br />;. ~ ` ~ <br />0 ~ ~/ <br />/~~/ <br />/. <br />~ <br />• ~ a~ / <br /> <br />FAX ~/ p 6 7.~ -.336 <br />FA% <br />PO NO . <br />Z <br />M1 <br />r <br />Q <br />~ <br />.- <br />SN.PLE NO. SM6PLE DESCRIPTION SAAPLE <br />DaTE SM'PLE <br />TIME SM4lE <br />3noTRlx. OJNTAINER TYPE RFSERV. <br />$ `~ a REMARKS / PRECAI;~T,fQt~S <br /> 960 o Io9 io coo t I I I I <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> S•9 c <br />SAMPLER O SHIPMENT METHOD AIRBILL NO. 89 <br />~a . ~, r <br />REQUIRED TURNAROUND' i i SAME DAY ~ I 2a HOURS <br />1. REUNOUI$HED <br />SIGNATU I~ a6 HUURS <br />DATE <br />~ <br />9~0 ~ ~ 72 HOURS I 5 DAV$ C 110 DAYS C I ROUTINE OTHER <br />Z. RELINCUISHEO BY: ~ ~ DATE 3 RELINO ISNED BY. <br />$IGNATURE' $IGNATURE: <br />GATE <br />PRIIITEO AME/COMPANY ~ <br />t. gECEIVED BY: <br />GNA RE' TI~D ~ <br />DATE PRINTED NAMF/COMPANY. <br />Z. RECEIVED BY: ~ ~ ~ <br />$IGNATURE: TIME <br />DATE PRINTED NAM6LOMPANY <br />3.RELENEDBY: ~ <br />$IGNATURE' TIME <br />DATE <br />PRI ED NAMFJCOMPANV E PRINTED NAMFJCOMPANY TIME PRINTED NAMFJCOMPANY. TIME <br />MV]rl W111VNHUUNU MF1 HGUUIHG <br />^ Amharm, Cddnrma <br />1750 E Gene Awrr Way <br />Ambim, Ghlamw 91805 <br />11161971 1096 <br />18001606 1617 <br />6 Bunn IOanrwl, Celgntlq <br />10)07 E Betnany Ouve <br />aurora. Colootlo 80016 <br />1]0]1151 ~I ]BO <br />18001917 761] <br />^ CaWn, Wyeminl ^ Cerpm Chriali, Tm <br />630 Wat Itl Sven 117J Ngnn Potlre Itlantl Orive <br />Gapn, Wyoming 81601 [prpm Cmmi, Loa 18608 <br />IJ011175~5/a1 151717898613 <br />IBOOI 66fi ~0Y16 IBBB 16688738 <br />^ Haurtan, iarn ^ 4b Cpnln, Lqunima <br />8310 Maalar Rgatl 7665 BNIn PnM1w+y <br />Houston, Tem 11015 $ulpnel. lqunum )8667 <br />1117196J~9116 171 BI 587<936 <br />18001736861] 18001359 4916 <br />^ Lqn~ Barth, Gfilgrnu <br />7100 Cnnry Avenue <br />lgnq Beun. Cahlgrnb 90P^~ <br />171015958601 <br />18001816]x]] <br />ORIGINAL <br />
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