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fr i <br />~p~,~W~d~~~:.,_ <br />CORE LABORATORIES, INC. <br />No. 63678 <br />CHAIN OF CUSTODY RECORD <br /> <br />CUSTOMER INFORMATION • •-~~ . <br />~ "PROJ~ ~NFORMA310 <br />COMPANN / - _ `~ r ` PROJECT NAMEMUMBER ,fi T <br />SEND REPOar To ~ / BILLING INFORMATION <br />ADDRESS <br />P. o, G-io 3~o BIU Ta <br />S~rc <br />~~ <br />, ; <br />SG., L~I:~ ~ iSa ADDRESS ,p~CC~e <br />~EW' ,~~~ LAB JOB N1O. <br />3P ~~j.3JJ / <br />~ <br />, <br />PHONE: ~//t- / ~~, ~a'(/ PHONE .' <br />~' <br /> <br />SAMLE NO SAMPLE DESCAIFTION ~~~ <br />oprp;.., SM4LE <br />TIME > ~ SAMPLE <br />: AwTRIx NNTA ~' <br /> <br />, ~ ~.:k ` <br />REMARKS./ PRECAUTIONS <br />~ 9Co /„?arp BinGo/ ~ > Soic. coc ~;vo. X <br />a ~aa /.~rr,c~oa ~( <br /> <br />~ /a l~ir,c~o <br /> <br /> <br /> <br /> <br /> <br /> <br />SAMPLER ~ ~ $NIPMENT METHOD AIRBILL NO <br />REO TURNAROUND • i SAME DAY ^ 2a HOURS ^ 4B HOURS ^ 72 HOURS ^ 5 DAYS ^ 10 DAYS ^ ROUTINE OTHER K/"" <br />1. R LIN E Y DATE 'INDUISHE B A + ~ ~ - - ~It x ~' <br />~ DATE '3rRELINWISH 0'BY: DATE <br /> ~ <br />d ^ <br />'j SIGNATURE SIGNATURE:. <br />j0 OMPANY Q _ _ T E^JQ PRINTED NAMFICOMPANY: .TIME PRINTED NAMEJCOMPANV: TIME <br />I. REC I D BY: DAT Z. RECEIVED BY' <' -, r ° b ' '~ : ?< DATE CEI O'BY't DATE <br />GNAT E ! SIGNATURE: SIGNATURE: - <br />RIN D NAMBCOMPANV T PRINTED NAMFICOMPANY ~ 1 TIME ] PRINTED NAMFICOMPANV TIME <br />a <br />a <br />a <br />C <br />a <br />c <br />z <br />x <br />a <br />+ <br />^ AMWA CA <br />I]]O E. GFMAN W,y <br />wrvNH~.uveo~ <br />pul vr.lw Fu pu) v>.I no <br />Menbn, TY NFO <br />vlo M•Wyllm <br />NWYm. nan <br />(il]I MSY11p Fu (71]) YN1•]111 <br /> <br />0 <br />E Syr <br />~ <br />M } <br />~ <br />~ <br />' <br />l <br />10]p0 <br />BFT•M PM <br />•A •30 W. <br />I6bY <br />wrexol .I N.Ptl <br />i IYYq Orlw . <br />" <br />:1 <br />UVra co vol• co. Caps anYr. Tx Tew • <br />' <br />PNI nt-li]p Fu PA]I ]]t~1,M . (]p]I bLHE1•t Fu POII 1161!]! ~ <br />. (pIa p1F3lI] Fu (51A EF~i]ll <br />. <br />- <br /> 31 <br />~ <br />IIWW11peIK IM <br />O O 1a~ <br />~ <br />l>Ze <br />Y LLIN •eMe w~wBnq ~ <br />A <br />l]I erealW P14 •aia'A F~Ptgeww 6asaat FOp 0a1i11• <br />.P <br /> ORIGINAL <br />i. Q.[YYeiI. MJ <br />. .. 4N R•r]n GMT PNtwry <br />-EEYm. W OEN) <br />-IV]I tIDd]OD Fu 1>i~ ]aElI] <br />^ Talp FL <br />61G09~11rrmlGNdM. <br />TYnp•~FL SML <br />P1]Iwcrofu lelllEM]~ <br />HwYm,T%IEnr) <br />vla ROe.. dN. <br />NwYm. *%~rola <br />PU)1WM•1 Fu pl]I116d11! ~ <br />VYpv4q IM <br />x.m culluwn on.. <br />VYpvYn.IN Nlp] <br />(1111 ... 1311 Fu (L%Ml~'d1] <br />