Laserfiche WebLink
Page / ol~ <br />'~~e CORE LABORATORIES <br />WeetanT Atlae <br />InCernedonel <br />CHAIN OF CUSTODY RECORD <br />.~ <br />CUSTOMER INFORMATION PROJECT INFORMATION OO /O, ~ <br />' <br />COMPANY: / n I~ , `~ / <br />l,~/[ ~/ /L, PROJECT NAMEMUMBEq: ~ ~C <br />SEND REPORT T0. <br />K <br />'p <br />ZQ S BILLING INFOR MATION Z ~~ <br />~s~ <br />~ ~ 7.p <br />~ <br />ADDPESS: ~ D L'7 "V`/1/"L C~ BILL TO: ~'j'~2~ rz ~y~J <br />~" <br />~V <br />/1 pl p(13O <br />l./" D~ ~/6 <br />(( ADDRESS U ` <br />P Q <br />= ~ LAB JOB NO. <br /> o P <br />PHONE' /1,~fJ, _lL1 / rCC~~~ <br />/ll / <br />~/ ./ <br />T <br />~( PHONE. ~ <br />~ <br />~ <br />~~ - <br />~ ^ - <br />FA% <br />~j FAX. PO NO.: Z Q <br />SAMPLE NO. $MAPIE ID p~~ STIMEE M~7q~7E1 CONTAINER TYPE PRES. O REMARKS/PRECAUTIONS <br />r ~~-~c~ ~~ ~~, ~ 1 <br /> - u ~s r ~ s~ 1 ~aok ~ <br /> ~C -- GC 13~f5 r ,>bH.O 1 I <br /> ,eL' - a-u 13~{s lanl ~- NaoN i <br /> -3u sv7 q3 / s say <br /> ~ - 3c,~ 5 u N~ddx i <br /> 5 `l3 ~~ 1 N 1 <br /> - ~ 3 1 u- 1 au i <br />S ~C - ~l 23 s7S I,va ~mQ 1 ~ <br /> - 5~ s ~' 3 1515 ~vt ~ ~l M~ <br />SAMPLER: A rjr /J <br />-` <br />- <br />C <br />.. SHIPMENT METHOD: AIgBILL NO.: <br />REQUIRED TURNARWND:' ^ <br />S <br />A <br />M <br />E DAY ^ 2A HOURS ^ 48 HOURS ^ 72 HOURS ^ S DAYS ^ 10 DAYS ^ ROUTINE OTHER <br />1. RELINDIII$ D Y: D~ 2. RELINOUI$HEO BY: DATE 3. RELINWI$HED BY' <br />$IGNAN SIGNATURE: SIGNATURE. <br />DATE <br />PRINTED N MPANY: T PRINTED NAMFJCOMPANV TIME PRIMED NAMEICOMPANV TIME <br />1. RECEVED BY: DATE 2 RECEIVED BY: DATE 9. RECEVED BY: DATE <br />SIGNATURE: `~',',~_ ~ $IGNANRE: SIGNATURE: <br />PRIN7E0 NAMFJCOMPANYn TIME PRIMED NAME/COMPANY TIME PRIN7ED NAMErCOMPANY: TIME <br />HUSH TUHNAHDUNU MAY HEUUIHE <br />^ AneMlm, Csllbnb ^ Lap Bede, Ce0lomb ^ dnrer IAUronl• COleretlo ^ bswr, WYOmlrp ^ Houston, Tnn <br />tt50 E. Gem ANry WsY 0100 Gerry Arenw 1000 B Pamuc 51. ~ Sane ^0 np weu lel Sreel Ip1pt Wesmevwr, Bleg bA <br />Aroee'vn. LeHOme 9180.5 lag Beetle, GNamu 9090) Aumn. CdoreEO 80011 Uswr. Wlan^^9 81601 Houston, Tees 770n1 <br />pul9]T'109e 1]t01696~8Wt 1001 T9]v80 IB0A 1159u p1]I9T16T00 <br />^ Houston, Tsus ^ Coryus CetlsB, Lm ^ LsYS Cestlo. LoWSlms <br />BRIO Mwery Hue tT9 Honn Psare bbrd pr. ]9n5 Amona Sneer <br />Houslan, Te.ee ROTS Lapuf Cemu, ie.ei 1M09 Bopea Lansana 1089] <br />171]19491)6 ~ 19111189 M1J 1]16158].916 <br />ORIGINAL <br />