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~~~.~~~ <br />CORE LABORATORIES, INC. <br />No. 48749 <br />CHAIN OF CUSTODY RECORD <br />~s'y' CUSTOMER INFORMATION ~;" ; ..Y <br />COMPANY. _ ` S PROJECT NNIEAVIA®ER O <br />SEND REPORT i <br />~ W BIWNG INFORMATION <br />- <br />ADDRESS. <br />o O BILL TU . <br />iJ Ca (~ <br />PHDNE. ~~ <br />PHONE: LAB JOB NyyO. <br />I.. ~ / ~ / <br />~~ <br />FA% FAX PO NO.: <br />SAA4LE NC SAA~PIE OESLTIIFTON •~ ...4 +. ..y~., _ ~_ <br />,, t „ . ,.._.,~ <br /> <br />:. EII~ARKS;/zPRECA PIONS <br />~ o-rost~ 3 4c. 3os ' ~~ ~ c ~ <br />a D3'(~ a I3is ~ <br />3 0 o3f3m~~ - r' <br /> ~ 0 3 f3 m o 1330 2.~ /- <br /> 3 S Pic' <br /> qc~~ 03 m o /~,La. -max <br /> <br /> <br /> <br /> <br />S -- n E, ~ SHIPYENf 69ETHOD' AIRBILL NO. <br />REGUIRED iU WROUND.' SAME DAY ~~ 7d HOURS [ 7 /! FIOIIRS 117? HDQRS I~ 5 DAYB ^ 10 DAYS ^ ROUTINE OTHER <br />1. RELINDUISRED BY: <br />~ DA t81b1161EDv - DATE BYi r DATE <br />SI RE ~ 3' A <br />7 SIGNATUIE SIGNATURE: <br />P 7 NAME]COMPANY <br />- iS <br />1. RE 8Y`~ .. - d ~• .. <br />TU ~ <br /> <br />DA / <br />plgj <br />D <br />/lo p6p(IED NAI6COIpANY: ~ <br /> <br />'s <br />SIGIIA71iE TIME <br /> <br />DATE Pf11NTED NM1ElCOMPANY: <br /> <br /> <br />SIGNATURE: TIME <br /> <br />DATE <br />PRINT NAMEI OMPANY. /~// TI <br />E PRO/TED IMI~ICOI~ANY: TIME PRINTED IUMEICO6IPANY TIME <br />• RUSH TURNAROUND MAY REQUIRE SURCI(ARGF,. <br /> <br />^ grMim. Ctldunn •. <br />quron IOrrwl, Cebrre <br />1790 F. Gene Awry Wry 10]07 E Bnhany Ome <br />Arunenn. Glilognu 97809 / <br />Aurpu. CplpoEp 90011 <br />U N19A~1091 ( <br />13071 ]9L1]80 <br />1900110116]7 190019177617 <br />^ [qu, TB,p~n6 ^ Croppr 64'sri, Tou <br />170 wel IA 9rne1 1777 Mona Ifer, BMnB Ogir, <br />6gVw, ~ysgnA 87601 Cprpu, Caring. T,nn 78108 <br />L10717793111 19171789887 <br />010016660706 18001948778 <br />^ N,pnr, Lna ^ 4b CWIe, Lrunr <br />8710 Mp,lry 8pn9 7W99glu pprkway <br />Npunon,Tm,77079 Subagn. Leuiwn, 1066] <br />07719179116 171819871976 <br />1800117176/7 180017991976 <br />^ Lan, Bp.ra, Cdilernu <br />7]00 Cnnry Aranua <br />Lonq Burn, Cal~tpgnw 90801 <br />111019998x01 <br />le9m e11a.71 <br />lTR Il:1 NIAI <br />