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<br />CORE LABORATORIES, INC. <br />No. 48753 <br />CHAIN OF CUSTODY RECORD <br />'. <br />' CUSTOMER INFORMA ON <br />~ y 1 g <br />- P ij i "~` <br />~ <br />p <br />i <br />COMPANY: <br />1 - ~ PROIECi NAMEMUMBEA: ~ <br />~ ~ ~ `Y' vv <br />~ ~ ~i <br />r <br />SEND REPORT i0' I I 1 <br />l ht \ FX BILLING INFORMATION N ~ ~ <br />ADDRESS' BILL TO <br />ry <br />~ <br />` $ ADDRESS : O ° LA <br />OB <br />NO. <br />B J <br /> ~ <br />~ ti <br />h / <br />Q <br />R <br />OS <br />6 <br />PH - ~ I S PHONE: <br />!O J / <br /> <br />SAA4LE NO. <br />SM7PLE DE9[AIPTION <br /> <br />x h <br />VJ <br />I I : <br /> <br />REMARKS,/;PRECALI~JOryS <br /> ~Ig I pis 0 s ~. ss ! - 8° <br /> - ~. °h= <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SAM ~ ~_ - .Z SHIPMENT METHOD. AIRBILL NO. <br />REQUIRED TURNAROUND' <br />1. RFJJN0111SHE0 BY: <br />IG ~ ~ SAME DAY ~ J <br />~ 21 HOURS CI 4B HOURS <br />DA E <br />`! / ^ 7Z HOURS ~ ~ 5 DAYS ~~ 10 DAYS <br /> <br />SIGNATURE: ^ ROUTINE OTHER <br />DATE <br />D Y" <br />SIGNATURE' <br />DATE <br />PRII C Y: <br />1. RECFrvm BY: <br />I TURE:~ ~W' G ~ 7~ <br />DAT lJ <br />~ PPoHTEO NMIEACOG~IWY: <br /> <br />- SIGNATURE: <br />,. 71ME <br />DATE PRIH7ED NAME/COMPANY. <br />~ , ` i r <br />SIGNATURE: TIME <br />DATE <br />RINTE NAME/CpAPANY: ~^ pgO7TED NA1~iCOMPANY: TIME PRINTED NAMEICOMPANY: TIME <br />C <br />RUSH TURNAROUND MAY REQUIRE SURCHAR E <br />^ArMim GNSrnu ` orarg lO,nrRl, CelerWa <br />1750 E. Gene Auuy Wgy 10107 E. fimm~y Orrvg <br />Annum, GlAgmb 97805 Aurgu. 60101ntl080011 <br />U 111971 1091 170]1151 ~I ]80 <br />190011017611 18001 W 77617 <br />^ GgOR, W,piY ^ Cm11g1 CYYG, Toe <br />170 Wm M1t 9ru1 1777 NgnY Atlas IY,nO Orive <br />Gm R. WYemiM 67®1 Comm DMini, Tln11 /6106 <br />170117753111 16171189 761] <br />18001666-0706 180015168776 <br />ORIGINAL <br />^ NInCg~• Tna ^ Gb CI4r1m, lguewn <br />1710 Me1M Pggtl 7615 8min AIYMiY <br />Neuaon, T,m 710)5 Sub6ur, Lguuang/0667 <br />RI71917-0176 171915871976 <br />18001]]1767] 190017591976 <br />^ lon, 4RY, GYIOm4 <br />7100 Cnmry Avenue <br />long 9mcA GLIgrn490801 <br />U1015958101 <br />19001 BII Jr]J <br />