Laserfiche WebLink
ilu~p ~~,~,z. <br />CORE LABORATORIES, INC. <br />No. 48757 <br />CHAIN OF CUSTODY RECORD <br />CUSTOMER INFORMATION .'~ . ~ ; •. ; .,, _ D~ <br />COMPANY. PROIEC7 NAMEMUMBER. ' ~ <br />SEND REPORT TO ~Y <br />.~cr_ L BILLING INFORMATION <br />ADDRESS /O BILL TO ~ ~ <br /> S ~//`~ <br />J ADDRESS. LAB JOB NO. <br /> ~3Z <br />PHON <br />/ <br />~ <br />~? - / <br />// <br />~ <br />Y/ _ <br />~ PHONE' . <br />~ // <br />'~-') <br />L ~ <br />~ <br />/ <br />s,AAVU: No. sAnrLE ~sa7 '`~ " ~ "" ""` ~''~g <br />., " .REMARKS /PRECAUTIONS <br />. <br /> B /7 c 1 3' ~ <br /> .. brZ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SAM ~' ~ ~ CZ/ SHIPMENT METH00: AIRBILL NO.: <br />REQUIRED iURNAflOUND' ~ I <br />1 REl1NOUISH D BY' <br />5 SAME DAY ~ I 24 HOURS <br />~ i <br />~~ C I IB HOUR$ <br />DAT <br />~ l.' ~ ~~ 72 HWRS L ~ 5 DAYS ~ ~ 10 DAYS <br />AE <br />SIGNATURE: ~ ^ ROUTINE <br />DATE OTHER <br />Y - <br />SIGNATURE: <br />DATE <br />PRIIIT COM ;: <br />L RECEIVED BY: <br />SIN U <br />, °~ .S ~O <br />DA7 <br />/ ~ PRINTED NAMER'.OIWANY: <br />RECEIVED '+ ~ <br />SIGNATURE <br />- TIME <br />DATE PRIMED NAMEICOMPANY: <br />D r I <br />SIGNATURE TIME <br />DATE <br />PRINTED NnM OMPANY: IIw1E PRIHTEO NAMEICOMPMIY. TIME PRINTED NAME/COMPANY TIME <br />HUSH IUHNAROUNO MAY REQUIRE SURCHARGE <br /> <br />^ Amhnm, Glil•rw •~Auren IOmrvl, C•I•rde <br />1150 E Gene Aunv Wr i 10107E Betnrnv Oran <br />Amnnm, Gfilomu 97805 / <br />qur•n, Colorado 60011 <br />0111977 ~109a I]071191~1160 <br />16001 rp116T] 16001 917 3 611 <br />^ Crpe, WY•ma9 ^ Crwr 6hrir0, Tur <br />670 wen hl Sven 1177 Maah Pan bond Drive <br />4mn, WYamlry 67601 Carom Chrini,TUn 18W8 <br />17011 I75~6161 16171769361) <br />16001666 OY16 160015168776 <br />^ Hwnw, Tur ^ l•b CheAn, lwnun° <br />6710 MoJ,y Ro,tl 7616 Brglir P,rYwu <br />N•uaon, Tear 17076 Sulpnur, LOYnnn•1066) <br />R 1719679116 17161667)976 <br />160011].761] 16001369)916 <br />^ L•q fish, Ctld•mm <br />7100 Cnnrv Avenue <br />Lang Bnrn, C•hl•mn 90601 <br />IJ1016968<01 <br />16001616~]r]] <br />ORIGINA7 <br />