Laserfiche WebLink
�m1,I■ t ,� � t <br /> CORE LABORATORIES, INC. <br /> OILII.IO CHAIN OF CUSTODY RECORD <br /> o � <br /> CUSTOMER INFORMATION PROJECT INFORMATION p <br /> PR T AM N meq} ']' �`j ~ � <br /> COMPAhlYr lr� ' f t+y�' 7 D � ti <br /> SEND REPORT TO 1 BILLING INFORMATION <br /> -- a <br /> BILL TO �J� Z J, [uQ <br /> A Q LAIR .10B NO. <br /> ADDRESS LL =Q <br /> co <br /> 0 <br /> PHONE � <br /> PHONE <br /> y PO NO <br /> FAX <br /> FAX <br /> R€MARKS 1 PRECALi7lOW= <br /> SAMPLE SAMPLE SAMPLE OpNTAINER PRESEflV - — <br /> SAMPL NO SAMPLE DESCRIPTION DATE TIME <br /> 0 n - <br /> It Aq Al I <br /> tZ 3'-l0 C <br /> cic <br /> w <br /> AIRBILL NO <br /> z SHIPMENT METHOD <br /> SAMPLER <br /> REQUIRED TU NARD D" 1 SAME DAY 24 HOURS 48 HOURS _'72 HOURS 5 DAY5 m 1B DAYS u'ROUTINE DATE <br /> ICE BATE 3 RELINQUISHED BY <br /> 0 1 REL11vQUV HE BY DATE 2 RELINOUI Y SIGNATURE <br /> SIGNATU <br /> r SIGNATU <br /> TED NAMEICOTIME <br /> a TIME PRINMPANY <br /> o PRINTED NAMElCOMPANY TIME <br /> PRINTED N EJCOMPAN <br /> 0 <br /> DATE 3 DATE <br /> RECEIVED BY <br /> Q DATE 2 RECEIVE By SIGNATURE <br /> Z I RECEIVED BY ��(JG7 s1c t7�dv <br /> cr <br /> SIGNATUA TIME <br /> = Fhl <br /> PRINTED ME1C MPA I� PRINTED NAMEfCOMPANY <br /> T1ME -{ � ( (QO(J <br /> d PRINTEDNAMElCOMPANY_ ��./��� <br /> E) Caspu WY �] 17333 N Padre island Crime <br /> 0 Aware CO 420 W Frst Street Corpus Chna%TX 79408 <br /> 0 AnahehP CA 10703 E Bethany Dal Casper WY 92901 (3611289 2673 Fax 13511 289 2671 <br /> 1250 E Gene Autry Way Aurora 0080014 (307)275$741 Fax(301)266 1676 <br /> elm CA 92805 (303)751 1780 Fax(303)751 1764 0 V.104I IN <br /> 937 1094 Fax 17141 937 1170 ❑ Lel CMrka 1A 2400 Cumberland D <br /> 1£nr1 2lp lMow"en loom �pa�57492 Vela3 <br /> IM <br /> (2191 <br /> chi n PnlhwoY 11nNa Mry NM r1rR1 4926 <br />